Active NPI
Donald Henry Lane, PH.D.
- Marriage & Family Therapist
- Granbury, TX
National Provider Identifier
1720155849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1608
- Practice address
- 708 Paluxy Rd Ste J
Granbury, TX 76048-2396 - Phone
- (817) 579-5988
- Fax
- (817) 579-5986
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1608 | TX | Primary |
Addresses
Primary practice location
708 Paluxy Rd Ste J
Granbury, TX 76048-2396
Mailing address
PO Box 1346
Granbury, TX 76048-8346
Phone (817) 579-5988
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10011014 | Other | TX | AMERIGROUP |
| 00187B | Other | TX | BC & BS |
| 237345 | Other | TX | COMPSYCH |
| 7180478 | Other | TX | AETNA |
| 3403815 | Other | TX | CIGNA BEHAVIORAL HEALTH |
| 021710 | Other | TX | VMC BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122003998 | TX | Practitioner - Marriage and Family Therapist | 4385096692 | Practice locations: Granbury, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1201 W 2ND St
Suite 105
Granbury, TX 76048-1490
Phone (817) 579-5988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720155849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1346",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760488346",
"telephone_number": "817-579-5988",
"fax_number": "817-579-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 PALUXY RD STE J",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482396",
"telephone_number": "817-579-5988",
"fax_number": "817-579-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "DONALD",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10011014",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC & BS",
"identifier": "00187B",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "237345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7180478",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "3403815",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VMC BEHAVIORAL HEALTH",
"identifier": "021710",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.