Active NPI
Anna R. Lane, MA, LPC, LADC
- Professional Counselor
- Mansfield Center, CT
National Provider Identifier
1578894499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001148
- Practice address
- 189 Storrs Rd
Mansfield Center, CT 06250-1683 - Phone
- (860) 655-9016
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000575 | CT | |
| Professional Counselor | 101YP2500X | 001148 | CT | Primary |
Addresses
Primary practice location
189 Storrs Rd
Mansfield Center, CT 06250-1683
Mailing address
47 Marjorie LN
Manchester, CT 06042-2076
Phone (860) 655-9016
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000575 | CT | MD | Occupational Health Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna R. Lane Ma, LPC, Ladc, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Glastonbury, CT
- NPI 1962729871
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1578894499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MARJORIE LN",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422076",
"telephone_number": "860-655-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 STORRS RD",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501683",
"telephone_number": "860-655-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ANNA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "MA, LPC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2023-12-21",
"certification_date": "2023-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000575",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield Center, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.