Individual provider Active NPI

Kathryn Christina Lane, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1164096913
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16469 Issued in NC
Practice address
5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone
(919) 865-8710
Fax
(919) 256-0772
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16469 NC Primary

Addresses

Primary practice location

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480

Mailing address

137 Colvard Farms Rd
Durham, NC 27713-7041
Phone (919) 307-5259

Other practice location 1

1415 West North Carolina 54
Suite 207
Durham, NC 27707
Phone (919) 307-5259

Other identifiers 1

IdentifierTypeStateIssuer
1164096913MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240110000113 NC Practitioner - Mental Health Counselor 0143671578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Mental Health Current Accepting new patients
Lane to Change Counseling PLLC Mental Health Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1415 W NC Highway 54
Ste 207
Durham, NC 27707
Phone (919) 307-5259

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

5000 Falls of Neuse Rd
Ste 300
Raleigh, NC 27609
Phone (919) 865-8710

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1164096913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 COLVARD FARMS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137041",
            "telephone_number": "919-307-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "919-865-8710",
            "fax_number": "919-256-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 West North Carolina 54",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "919-307-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "KATHRYN",
        "middle_name": "CHRISTINA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164096913",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.