Organization Active NPI

Dana Lane

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1073862892
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 2860 Issued in FL
Legal business name
DANA LANE
Practice address
14502 N Dale Mabry Hwy
Suite 200-52
Tampa, FL 33618-2075
Phone
(813) 240-5769
Fax
(813) 932-2588
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dana Lane, LMHCNPI 1740465988
Title
Sole Proprietor
Phone
(813) 240-5769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH 2860 FL Primary

Addresses

Primary practice location

14502 N Dale Mabry Hwy
Suite 200-52
Tampa, FL 33618-2075

Mailing address

2108 W Fore Dr
Tampa, FL 33612-5005
Phone (813) 240-5769

Other identifiers 1

IdentifierTypeStateIssuer
002664200MedicaidFL

National Provider Directory

National Provider Directory

Locations

14502 N Dale Mabry Hwy
Ste 20052
Tampa, FL 33618
Phone (813) 240-5769

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1073862892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W FORE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125005",
            "telephone_number": "813-240-5769",
            "fax_number": "813-932-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "SUITE 200-52",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-240-5769",
            "fax_number": "813-932-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA LANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "813-240-5769",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 2860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002664200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.