Individual provider Active NPI

Kenton Lane, MFT

  • Marriage & Family Therapist
  • Rolling Hills Estates, CA
National Provider Identifier
1396034146
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC43381 Issued in CA
Practice address
904 Silver Spur Rd Ste 203
Rolling Hills Estates, CA 90274-4424
Phone
(310) 968-1608
Fax
(310) 541-5594
NPI assigned
Apr 1, 2011
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC43381 CA Primary

Addresses

Primary practice location

904 Silver Spur Rd Ste 203
Rolling Hills Estates, CA 90274-4424

Mailing address

904 Silver Spur Rd Ste 203
Rolling Hills Estates, CA 90274-4424
Phone (310) 968-1608

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
MFC43381CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1396034146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SILVER SPUR RD STE 203",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744424",
            "telephone_number": "310-968-1608",
            "fax_number": "310-541-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SILVER SPUR RD STE 203",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744424",
            "telephone_number": "310-968-1608",
            "fax_number": "310-541-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KENTON",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC43381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.