Active NPI
Mark Richard Lane, DMIN LPC
- Pastoral Counselor
- Richmond, VA
National Provider Identifier
1164518882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 0701002355
- Practice address
- 4201 Patterson Ave
Richmond, VA 23221 - Phone
- (877) 572-3371
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 0701002355 | VA | Primary |
Addresses
Primary practice location
4201 Patterson Ave
Richmond, VA 23221
Mailing address
4201 Patterson Ave
Richmond, VA 23221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002355 | VA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1164518882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23221",
"telephone_number": "877-572-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MARK",
"middle_name": "RICHARD",
"credential": "DMIN LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "VA",
"license": "0701002355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.