Mary Jane Lane LMFT LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARY JANE LANE LMFT LLC

Practice address

412 S Clay Ave # 212
Kirkwood, MO 63122-5860

Phone

(314) 805-2977

Fax

(314) 822-9696

NPI assigned

Apr 27, 2019

Organization subpart

No

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

Authorized official

Name

Mary Jane Lane, LPC LMFT

Title

Provider

Phone

(314) 805-2947

Specialties & licenses 1

Addresses

Other names 1

• Mary Jane Lane LMFT LLC Doing business as

Locations

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1770147548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S CLAY AVE # 212",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225860",
            "telephone_number": "314-805-2977",
            "fax_number": "314-822-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S CLAY AVE # 212",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225860",
            "telephone_number": "314-805-2977",
            "fax_number": "314-822-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JANE LANE LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "314-805-2947",
        "authorized_official_credential": "LPC LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Jane Lane LMFT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devin Eleanor Maret, RBT
• Maria D Sabio, MD, PC
• Mark Taylor D.M.D P.C.
• Brandon Adriel Martin, PHARM D
• Matthew Marx, RPH
• Dylan Mason, PROVISIONAL BCABA
• Katherine Mason, LMSW
• Mark A Mason, MD
• Andrea Michele Mattingly, BA
• William Mattingly

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.