Katelyn Lane

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837

Phone

(865) 999-0601

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allied Behavioral Health Solutions, LLC

  • Mental Health Counselor
  • Nashville, TN
  • NPI 1275357089
  Medicare reassignment NPD
• Advanced Therapy Solutions

  dba Allied Behavioral Health Solutions

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1912437203
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1497407720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 18TH AVE N STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032253",
            "telephone_number": "615-292-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E BROADWAY BLVD STE 205",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602837",
            "telephone_number": "865-999-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "119433789",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ClinicSource",
            "affiliation": "N",
            "endpointDescription": "Cloud-based EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 E Broadway Blvd Ste 205",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377602837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Ann Kraft, FNP
• Laura Kraus, M.D.
• Mathew T Kraus, M.D.
• Jagger Kubic
• Charlea Lammey, PHARMD
• Haley Lawson
• Kimberly Anne Lay, PAC
• Charles Robin Layell, LPC/MHSPT
• Lemay Psychological Services
• Mark A. Lemay, PH.D.

• Mental Health Counselor in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.