Kira C Lane, LPC3502

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC3502 Issued in ID

Practice address

496 A St
Idaho Falls, ID 83402-3617

Phone

(208) 552-7100

Fax

(208) 552-7101

NPI assigned

Oct 17, 2006

Last updated

Feb 21, 2008By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Center of Southeast Idaho

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1639116627
  NPD (past)
• Family Care Center Inc

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1730104464

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1275613556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PINE ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024124",
            "telephone_number": "208-227-6609",
            "fax_number": "208-522-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 A ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023617",
            "telephone_number": "208-552-7100",
            "fax_number": "208-552-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KIRA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPC3502",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC3502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "X6889",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010156986",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landbank Laboratories, LLC
• Dylan Marshall Landeen, LCSW
• John Edward Landers, PH.D.
• Sari Jane Landers, RDN, LDN
• Jaxson Landon, DC
• Robert Lang, LCPC
• Linda Lanham
• Brandon Leon Larsen, PA-C
• Matthew F Larsen, DO
• Paul Lorenzo Larsen, PA-C

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.