Individual provider Active NPI

Delores D Highley-Lane, CADC, BA

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
National Provider Identifier
1710754247
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
28128 Issued in IL
Practice address
7303 S Maryland Ave
Chicago, IL 60619-1919
Phone
(872) 818-6038
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28128 IL Primary

Addresses

Primary practice location

7303 S Maryland Ave
Chicago, IL 60619-1919

Mailing address

7303 S Marylandn Ave
Chicago, IL 60619-1919
Phone (872) 818-6038

Other names 1

  • Delores D Lane Professional 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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
28128ILMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1710754247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 S MARYLANDN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191919",
            "telephone_number": "872-818-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191919",
            "telephone_number": "872-818-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLEY-LANE",
        "first_name": "DELORES",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CADC, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "28128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELORES",
            "last_name": "LANE",
            "middle_name": "D",
            "credential": "CADC, BA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.