Kelly Lane, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16685 Issued in FL

Practice address

7821 N Dale Mabry Hwy
Tampa, FL 33614-3275

Phone

(813) 443-4827

NPI assigned

Feb 16, 2019

Last updated

Feb 16, 2019By the provider in NPPES

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Personal Wellness Solutions, LLC

  dba Personal Wellness Solutions

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1639851512
  Medicare reassignment NPD
• Resilient Pathways, LLC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1962202622
  NPD Authorized official
• Personal Wellness Solutions, P.a.

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1164827838
  NPD (past)

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1225594005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 HARROGATE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143275",
            "telephone_number": "813-443-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KELLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lashelle Lane, LMHC
• Frank B Lane, MD
• Genevieve June Lane
• James R Lane, MD
• Katherine Lane, BEHAVIOR THERAPIST
• Marsha Teague Lane, LMHC
• Meghan Lynn Lane, PA-C
• Sade Lane
• Thomas Michael Lane, D.C.
• Zhaoli Lane, M.D

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.