Susan Lane, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 2121 Issued in FL

Practice address

501 N Wymore Rd
Winter Park, FL 32789-2808

Phone

(407) 975-2565

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devereux

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1912040403
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841333028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 HARRISON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044441",
            "telephone_number": "407-492-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892808",
            "telephone_number": "407-975-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SUSAN",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MFT 2121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Edward Land
• Stephanie Landi, MSW
• Karan Landkroon
• Rayna Landsman
• Lane Electronics & Alarm Systems, Inc.
• Larry M. Langford, PA-C
• Michelle Langrock, MA, RMHCI, RMFTI
• David Lansinger, MSW
• Elizabeth Lanza
• Lauren C Lapp, PA-C

• Marriage & Family Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Marriage & Family Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.