Individual provider Active NPI

Lane McGill, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1225054620
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39705 Issued in CA
Practice address
2100 N Broadway
Suite 101
Santa Ana, CA 92706-2624
Phone
(714) 245-6881
NPI assigned
Jul 15, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39705 CA Primary

Addresses

Primary practice location

2100 N Broadway
Suite 101
Santa Ana, CA 92706-2624

Mailing address

2100 N Broadway
Suite 101
Santa Ana, CA 92706-2624
Phone (714) 245-6881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240111003571 CA Practitioner - Marriage and Family Therapist 7012368269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC39705CAMDMarriage & Family Therapist
39705CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Jan 1, 2024 Accepting new patients
Telecare Corporation CurrentSince Jan 1, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1225054620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062624",
            "telephone_number": "714-245-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062624",
            "telephone_number": "714-245-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "LANE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.