Individual provider Active NPI

Lane Kimberly Griffith, MA, LCMHC, NCC

  • Mental Health Counselor
  • Newton, NC
National Provider Identifier
1386033959
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8114 Issued in NC
Practice address
22 S Main Ave
Newton, NC 28658-3354
Phone
(828) 465-1007
Fax
(828) 465-6131
NPI assigned
Jan 20, 2015
Last updated
Sep 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X SP II NC
Mental Health Counselor 101YM0800X 8114 NC Primary
Professional Counselor 101YP2500X 8114 NC

Addresses

Primary practice location

22 S Main Ave
Newton, NC 28658-3354

Mailing address

PO Box 1403
Newton, NC 28658-1403
Phone (828) 465-1007

Other names 1

  • Lane Kimberly Hawes Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP IINCMDSchool Counselor
8114NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1386033959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1403",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286581403",
            "telephone_number": "828-465-1007",
            "fax_number": "828-465-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S MAIN AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583354",
            "telephone_number": "828-465-1007",
            "fax_number": "828-465-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "LANE",
        "middle_name": "KIMBERLY",
        "credential": "MA, LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "SP II",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8114",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANE",
            "last_name": "HAWES",
            "middle_name": "KIMBERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.