Kelly M Lane, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

03759 Issued in KS

Practice address

21910 W 113TH St N
Sedgwick, KS 67135-9577

Phone

(316) 217-3865

NPI assigned

May 9, 2016

Sex

Female

Sole proprietor

Yes

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.

• County of Sedgwick

  • Public Health or Welfare Agency
  • Wichita, KS
  • NPI 1629281373

  KS

  Medicare reassignment NPD
• County of Sedgwick

  • Case Management Agency
  • Wichita, KS
  • NPI 1679610539
  NPD
• County of Sedgwick

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1831180033

  Mental Health

  NPD
• Saint Francis Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1144341694

  Professional

  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1124474119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21910 W 113TH ST N",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "671359577",
            "telephone_number": "316-217-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21910 W 113TH ST N",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "671359577",
            "telephone_number": "316-217-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2175",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Eldon Cramer
• Jacob L Deeds, CRNA
• Diversicare of Sedgwick LLC
• Rachael Marie Ervin, COTA/L
• Pamela Forbes, MA, CCC-SLP
• Jill Marie McGinn, SLP
• Stephanie Medina, COTA/L
• Nancy B Odonnell, OTRL BC AC SF
• Brittney Ramsey
• Jordan Scott Scarlett, RDN, LDN

• All providers in Sedgwick, KS
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.