Individual provider Active NPI

Jessie C Lane, LMFT

  • Marriage & Family Therapist
  • Marshfield, MA
National Provider Identifier
1396156345
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1742 Issued in MA
Practice address
541 Plain St
Marshfield, MA 02050-2752
Phone
(781) 336-9084
NPI assigned
May 13, 2014
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 1742 MA Primary

Addresses

Primary practice location

541 Plain St
Marshfield, MA 02050-2752

Mailing address

541 Plain St
Marshfield, MA 02050-2752

Other practice location 1

385 Court St Ste 103
Plymouth, MA 02360-7304
Phone (857) 234-6507

Other practice location 2

50 Aldrin Rd
Plymouth, MA 02360-4827
Phone (508) 830-0004

Other identifiers 1

IdentifierTypeStateIssuer
1396156345MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@massbaycounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603002677 MA Practitioner - Marriage and Family Therapist 6709357494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

541 Plain St
Marshfield, MA 02050-2752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1742MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Massbay Counseling,Inc. Marriage & Family Therapist CurrentSince Oct 23, 2022 Accepting new patients

Locations

541 Plain St
Marshfield, MA 02050
Phone (781) 834-0747

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1396156345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 PLAIN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 PLAIN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502752",
            "telephone_number": "781-336-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Court St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023607304",
            "country_code": "US",
            "telephone_number": "857-234-6507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Aldrin Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604827",
            "country_code": "US",
            "telephone_number": "508-830-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JESSIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396156345",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@massbaycounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "541 Plain St",
            "city": "Marshfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020502752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.