Janet Elizabeth Lane, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106904 Issued in CA

Practice address

240 Tamal Vista Blvd Ste 260
Corte Madera, CA 94925-1157

Phone

(415) 413-3972

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1780122093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD STE 260",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251157",
            "telephone_number": "415-413-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD STE 260",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251157",
            "telephone_number": "415-413-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 Redwood Highway, Building C, Suite 400",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "94903",
            "country_code": "US",
            "telephone_number": "415-755-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JANET",
        "middle_name": "ELIZABETH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2983",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacqueline May Ladrech, MS, MFT
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• Cynthia Monica Laskowski
• Jason J. Lee, DDS
• Sungwhan Lee, DDS
• Dana Leigh, MFT

• Marriage & Family Therapist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.