Individual provider Active NPI

Da'Vion Lane

  • Mental Health Counselor
  • Muskegon, MI
National Provider Identifier
1316628464
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451024269 Issued in MI
Practice address
3070 Maple Grove Rd
Muskegon, MI 49441-4080
Phone
(231) 360-5405
Fax
(231) 360-5405
NPI assigned
Jul 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 6451024269 MI Primary
Professional Counselor 101YP2500X C.2405732-TRNE OH

Addresses

Primary practice location

3070 Maple Grove Rd
Muskegon, MI 49441-4080

Mailing address

7031 Corporate Way Ste 103
Dayton, OH 45459-4262
Phone (937) 619-9089

Other practice location 1

2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232

Other practice location 2

605 S Patterson Blvd
Dayton, OH 45402-2649
Phone (937) 395-4600

Other identifiers 1

IdentifierTypeStateIssuer
0023211MedicaidOH

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

LicenseStateTypeSpecialty
C.2405732-TRNEOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Healing Services LLC Mental Health Current Accepting new patients
De'Asia L. Thompson, Lisw, LLC Professional PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1316628464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 CORPORATE WAY STE 103",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594262",
            "telephone_number": "937-619-9089",
            "fax_number": "937-265-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MAPLE GROVE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414080",
            "telephone_number": "231-360-5405",
            "fax_number": "231-360-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Noble Dr",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446915353",
            "country_code": "US",
            "telephone_number": "330-264-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 S Patterson Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454022649",
            "country_code": "US",
            "telephone_number": "937-395-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "DA'VION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024269",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2405732-TRNE",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.