Active NPI
Rebecca Elizabeth Lane, LPC
- Professional Counselor
- Cottonwood, AZ
National Provider Identifier
1396247458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17190
- Practice address
- 8 E Cottonwood St
Cottonwood, AZ 86326-4382 - Phone
- (776) 347-3338
- Fax
- (866) 984-3891
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17190 | AZ | Primary |
Addresses
Primary practice location
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Mailing address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone (778) 634-7333
Other practice location 1
1129 W Iron Springs Rd
Prescott, AZ 86305-1623
Phone (928) 308-3375
Other practice location 2
4430 S Last Claim Ln
Prescott, AZ 86303-8264
Phone (928) 308-3375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17190 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1396247458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 E COTTONWOOD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264382",
"telephone_number": "778-634-7333",
"fax_number": "866-984-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 E COTTONWOOD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264382",
"telephone_number": "776-347-3338",
"fax_number": "866-984-3891"
}
],
"practiceLocations": [
{
"address_1": "1129 W Iron Springs Rd",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863051623",
"country_code": "US",
"telephone_number": "928-308-3375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4430 S Last Claim Ln",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863038264",
"country_code": "US",
"telephone_number": "928-308-3375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "REBECCA",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "17190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.