Aubrey Christine Lane, LMFTA
Individual provider Active NPI Marriage & Family Therapist · Duvall, WA
NPI 1235629072 · NPPES record last updated May 17, 2018
Key facts
- NPI
- 1235629072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- CAAR.CG.60578901 (WA)
- Practice address
- Larch Counseling 15315 1St Avenue Northeast
#205-A
Duvall, WA 98019 - Phone
- (425) 200-0130
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Nov 20, 2024 through Nov 20, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAAR.CG.60578901 | WA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CAAR.CG.60578901 | WA | Yes |
Addresses
Primary practice location
Larch Counseling 15315 1St Avenue Northeast
#205-A
Duvall, WA 98019
Mailing address
45716 SE Mt Si Rd
North Bend, WA 98045-8741
Phone (206) 962-9007
Other providers in Duvall, WA
- Kristine Renae Kingsbury
- Kyle Thomas Krekow
- Lauren Valentine Kula
- Shelly Marie Kvamme
- Mayuri Lahane
- Larch Counseling PLLC
- Sherman Lee
- Sarah Louise Leppert
- Haset Lidetu
- Nicholas Gary Linger
All providers in Duvall, WA · Marriage & Family Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.