Individual provider Active NPI

Lane Doubenmier Miller, MA

  • Counselor
  • Raytown, MO
National Provider Identifier
1619953155
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2003032247 Issued in MO
Practice address
8801 E 63Rd St
Suite 104
Raytown, MO 64133-4875
Phone
(816) 368-2000
Fax
(816) 533-6873
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2003032247 MO Primary

Addresses

Primary practice location

8801 E 63Rd St
Suite 104
Raytown, MO 64133-4875

Mailing address

200 Main St
Apt. 211
Kansas City, MO 64105-1277
Phone (816) 604-8598

Other identifiers 1

IdentifierTypeStateIssuer
497196303MedicaidMO

Other names 1

  • Lane' Doubenmier Former name

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

LicenseStateTypeSpecialty
2003032247MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Hope KC LLC Counselor Current Accepting new patients
Be Here Now Counseling, Wellness & Consulting LLC Current Accepting new patients

Organizations & group practices 2

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1619953155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "APT. 211",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051277",
            "telephone_number": "816-604-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 E 63RD ST",
            "address_2": "SUITE 104",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334875",
            "telephone_number": "816-368-2000",
            "fax_number": "816-533-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LANE",
        "middle_name": "DOUBENMIER",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2003032247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497196303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANE'",
            "last_name": "DOUBENMIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.