Active NPI
Caroline M Lane, LMSW-ACP, QMHP, CSAC
- Addiction (Substance Use Disorder) Counselor
- Chesapeake, VA
National Provider Identifier
1528676582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3322 Western Branch Blvd Ste a
Chesapeake, VA 23321-5142 - Phone
- (757) 673-3644
- Fax
- (757) 337-0165
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | VA | Primary |
Addresses
Primary practice location
3322 Western Branch Blvd Ste a
Chesapeake, VA 23321-5142
Mailing address
PO Box 54
Moyock, NC 27958-0054
Phone (757) 716-8364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://bhgrecovery.com/ | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1528676582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279580054",
"telephone_number": "757-716-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 WESTERN BRANCH BLVD STE A",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215142",
"telephone_number": "757-673-3644",
"fax_number": "757-337-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "CAROLINE",
"middle_name": "M",
"credential": "LMSW-ACP, QMHP, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://bhgrecovery.com/",
"affiliation": "N",
"endpointDescription": "Company Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Company Website",
"address_1": "3322 Western Branch Blvd Ste A",
"city": "Chesapeake",
"state": "VA",
"country_code": "US",
"postal_code": "233215142",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.