Mary Katherine Lance

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

11 Davis Keats Dr
Greenville, SC 29607-6509

Phone

(864) 202-6537

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 3, 2025 through Mar 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breakthrough Therapy, LLC

  • Marriage & Family Therapist
  • Greenville, SC
  • NPI 1780458281
  NPD Authorized official
• Modern Wellness Family Counseling, LLC

  • Marriage & Family Therapist
  • Spartanburg, SC
  • NPI 1972146611
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1104595909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOODRUFF RD STE E1024",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DAVIS KEATS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076509",
            "telephone_number": "864-202-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devante Lamont
• Cala Nicole Lampel, BCBA
• Daniel Lampignano, M.D.
• Carly Few Lancaster
• Leah Michelle Lancaster, M.S.P.
• Tracy Lynette Lance, M.D.
• Land Associates LLC
• Catherine Eileen Land, CRNA
• Lisa Marie Landen, PTA
• Aitemad Aziz Lander, D.O.

• All providers in Greenville, SC
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.