Mike Neal Lane, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC33336 Issued in CA

Practice address

948 20TH St Unit C
Santa Monica, CA 90403-3385

Phone

(310) 429-9727

NPI assigned

Oct 8, 2021

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1164184990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 OCEAN PARK BLVD STE 112",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053231",
            "telephone_number": "310-429-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 20TH ST UNIT C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033385",
            "telephone_number": "310-429-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Ocean Park Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053231",
            "country_code": "US",
            "telephone_number": "310-429-9727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "MIKE",
        "middle_name": "NEAL",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl K Landau, M.D.
• Kevin Rogan Landefeld, M.D.
• Helen Zielinski Landon, PHD
• Sara Landon
• Susan Pauline Landon, MFT
• Rebecca S Lane, M.D.
• Rachel Kay Lang
• Susan Lange, OMD, L.AC.
• Carrie Rosalie Langenbach, MS, LMFT
• Monique Langston, MS, CCC-SLP

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.