Mary Jane Lane LMFT, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CS001214 Issued in MO

Legal business name

MARY JANE LANE LMFT, LLC

Doing business as

MARY JANE LANE

Practice address

621 S New Ballas Rd
Ste 112a
Saint Louis, MO 63141-8232

Phone

(314) 251-4871

Fax

(314) 251-5808

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Kay Mueller

Title

Office Manager

Phone

(314) 251-4871

Specialties & licenses 1

Addresses

Other names 1

• MARY JANE LANE Doing business as

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1437406204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 112A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-4871",
            "fax_number": "314-251-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 112A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-4871",
            "fax_number": "314-251-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JANE LANE LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-251-4871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "CS001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY JANE LANE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.