Lane Cannon Porter, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7960484-6004 Issued in UT

Practice address

2973 W 13800 S
Bluffdale, UT 84065-8202

Phone

(801) 577-4804

Fax

(844) 965-9279

NPI assigned

Oct 28, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1346540085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 E CAROLINE DAY CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205164",
            "telephone_number": "801-577-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 W 13800 S",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840658202",
            "telephone_number": "801-577-4804",
            "fax_number": "844-965-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LANE",
        "middle_name": "CANNON",
        "name_prefix": "Mr.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7960484-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lothair William Pendleton, LCSW
• Tiare Kawaianuheaonalani Pickard, MSW
• Matthew Piper
• Jan Charles Plumb
• Ethan Pollock, FNP-C
• Lisa Pryor, CMHC
• Kathleen Marcie Remington, LCSW
• Renaissance Ranch
• Renaissance Ranch Bluffdale Men'S Program
• Renaissance Ranch Bluffdale Women'S Program

• Mental Health Counselor in Bluffdale, UT
• Providers in Bluffdale, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.