Individual provider Active NPI

Elaine J Lang, APRN,CNS-BC,CACII

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Spartanburg, SC
National Provider Identifier
1346588027
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
18414 Issued in SC
Practice address
657 Hwy 221 North (Whitney Rd.)
Spartanburg, SC 20303
Phone
(854) 978-8232
Fax
(864) 542-2102
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1209018 SC
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 18414 SC Primary

Addresses

Primary practice location

657 Hwy 221 North (Whitney Rd.)
Spartanburg, SC 20303

Mailing address

165 Pershing St
Spartanburg, SC 29302-3172
Phone (864) 978-8232

Other identifiers 1

IdentifierTypeStateIssuer
1209018OtherSCCACII

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1209018SCMDAddiction (Substance Use Disorder) Counselor
18414SCMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1346588027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PERSHING ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023172",
            "telephone_number": "864-978-8232",
            "fax_number": "864-542-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HWY 221 NORTH (WHITNEY RD.)",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "20303",
            "telephone_number": "854-978-8232",
            "fax_number": "864-542-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "ELAINE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APRN,CNS-BC,CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1209018",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "SC",
            "license": "18414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CACII",
            "identifier": "1209018",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.