Jessica Lane

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

300 Menaul Blvd NW Ste a-216
Albuquerque, NM 87107-1322

Phone

(505) 633-7170

NPI assigned

Jul 19, 2016

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 names 1

• Jessie Lane Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Rhizome Therapeutics LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1528757424
  NPD Authorized official

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1366895914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MENAUL BLVD NW STE A-216",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071322",
            "telephone_number": "505-633-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MENAUL BLVD NW STE A-216",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071322",
            "telephone_number": "505-633-7170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032228",
            "country_code": "US",
            "telephone_number": "602-321-6693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "LANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inez Joanne Landry
• Isabella Rose Landry
• Mary Ann Landry, LPCC
• Angela Lane, LCSW
• Chelsea Lane, MOT, OTR/L
• Melissa Marlene Lane, D.P.T
• Paula Jean Lane, M.D.
• Samara Lane
• Susan Lane, LPCC
• Tina Lane

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.