Active NPI
Garett Walker Lane, MS
- Professional Counselor
- Reno, NV
National Provider Identifier
1437996121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CI5417
- Practice address
- 9492 Double R Blvd
Reno, NV 89521-6024 - Phone
- (775) 722-8316
- NPI assigned
- Jul 10, 2024
- Last updated
- Jul 10, 2024
- Sex
- Male
- 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 | CI5417 | NV | Primary |
Addresses
Primary practice location
9492 Double R Blvd
Reno, NV 89521-6024
Mailing address
1784 Rankin Dr
Carson City, NV 89701-6856
Phone (530) 558-0396
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI5417 | NV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1437996121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1784 RANKIN DR",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897016856",
"telephone_number": "530-558-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9492 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895216024",
"telephone_number": "775-722-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "GARETT",
"middle_name": "WALKER",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CI5417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.