Individual provider Active NPI

Minta Lanning

  • Professional Counselor
  • Logan, OH
National Provider Identifier
1508360660
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2507144 Issued in OH
Practice address
31500 Chieftain Dr Ste Abc
Logan, OH 43138-8421
Phone
(740) 270-3286
Fax
(740) 216-4597
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162846 OH
Professional Counselor 101YP2500X C.2507144 OH Primary

Addresses

Primary practice location

31500 Chieftain Dr Ste Abc
Logan, OH 43138-8421

Mailing address

PO Box 900926
Sandy, UT 84090-0926

Other practice location 1

5563 Far Hills Ave
Dayton, OH 45429-2225
Phone (937) 291-2300

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

LicenseStateTypeSpecialty
LICDC.162846OHMDAddiction (Substance Use Disorder) Counselor
C.2507144OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Nov 30, 2025 Accepting new patients
Kav Health Group, LLC Past Accepting new patients
Kav Health Group LLC Past Accepting new patients
Phoenix Group Home, LLC PastSince Nov 30, 2025 Accepting new patients

Locations

31500 Chieftain Dr
Apt A
Logan, OH 43138

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/kavrecovery/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1508360660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900926",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840900926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 CHIEFTAIN DR STE ABC",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388421",
            "telephone_number": "740-270-3286",
            "fax_number": "740-216-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5563 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454292225",
            "country_code": "US",
            "telephone_number": "937-291-2300",
            "fax_number": "937-291-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANNING",
        "first_name": "MINTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162846",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2507144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.