Individual provider Active NPI

Jason Clayton Lane, LPC, M.ED.

  • Professional Counselor
  • Beckley, WV
National Provider Identifier
1770310062
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3010 Issued in WV
Practice address
123 Westwood Dr
Beckley, WV 25801-4245
Phone
(304) 362-3189
NPI assigned
Sep 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3010 WV Primary

Addresses

Primary practice location

123 Westwood Dr
Beckley, WV 25801-4245

Mailing address

123 Westwood Dr
Beckley, WV 25801-4245
Phone (304) 362-3189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827000037 WV Practitioner - Mental Health Counselor 8022518695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Roads Healthcare LLCGroup PAC ID 8527508662, 2 clinicians

Practice addresses (Care Compare)

833 Robert C Byrd Dr
Sophia, WV 25921-6101
Phone (681) 688-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Country Roads Healthcare, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1016 Wal St
Summersville, WV 26651
Phone (681) 688-7444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1770310062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WESTWOOD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014245",
            "telephone_number": "304-362-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WESTWOOD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014245",
            "telephone_number": "304-362-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JASON",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "LPC, M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.