Tisha Jane Lane, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18110 Issued in FL

Practice address

15879 Willoughby LN
Fort Myers, FL 33905-2416

Phone

(239) 349-0216

Fax

(941) 275-6307

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1679905699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15879 WILLOUGHBY LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052416",
            "telephone_number": "239-349-0216",
            "fax_number": "941-275-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15879 WILLOUGHBY LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052416",
            "telephone_number": "239-349-0216",
            "fax_number": "941-275-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Biltmore Way Ste 109",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345724",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1853 Victoria Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339013428",
            "country_code": "US",
            "telephone_number": "239-841-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "TISHA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18110",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105953500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Landis, LCSW
• Landmark Recovery of Florida LLC
• Lane Pediatrics PA
• Crystal Dawn Lane, PMHNP-BC
• Richard J Lane, MD
• Martha Tania Lange
• Carolyn F Langford, D.O.
• Casey Ray Langford, APRN
• Ethan R Langford, D. C.
• Austin K Langham, PAC

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.