Active NPI
Lana Michelle Sanders
- Professional Counselor
- Tupelo, MS
National Provider Identifier
1194292946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2927
- Practice address
- 200 N Spring St
Tupelo, MS 38804-3924 - Phone
- (662) 371-1711
- NPI assigned
- Oct 30, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2927 | MS | Primary |
Addresses
Primary practice location
200 N Spring St
Tupelo, MS 38804-3924
Mailing address
200 N Spring St
Tupelo, MS 38804-3924
Phone (662) 371-1711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018203 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 14, 2025 through Mar 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2927 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1194292946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N SPRING ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043924",
"telephone_number": "662-371-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N SPRING ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043924",
"telephone_number": "662-371-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "LANA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018203",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.