Active NPI
Lane Doubenmier Miller, MA
- Counselor
- Raytown, MO
National Provider Identifier
1619953155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2003032247
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497196303 | Medicaid | MO |
Other names 1
- Lane' Doubenmier
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 |
|---|---|---|---|
| 2003032247 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Kansas City, MO
- NPI 1396229357
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prairie Village, KS
- NPI 1205588811
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.