Active NPI
Thomas Kelsey Lane, D.MIN.
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1285846329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2275
- Practice address
- 912 N Elm St
Greensboro, NC 27401-1513 - Phone
- (336) 545-1200
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2275 | NC | Primary |
Addresses
Primary practice location
912 N Elm St
Greensboro, NC 27401-1513
Mailing address
107 Pineburr Rd
Greensboro, NC 27455-1722
Phone (336) 545-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2275 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285846329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 PINEBURR RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274551722",
"telephone_number": "336-545-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011513",
"telephone_number": "336-545-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "THOMAS",
"middle_name": "KELSEY",
"name_prefix": "Dr.",
"credential": "D.MIN.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.