Stephanie Michelle Lane-Hicks, LPC, AT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3774 Issued in OK

Practice address

1140 N Hudson Ave
Oklahoma City, OK 73103-3918

Phone

(405) 272-0660

NPI assigned

Mar 8, 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

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lane-Hicks Counseling & Art Therapy Ctr PC

  • Professional Counselor
  • Edmond, OK
  • NPI 1457651879
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851422190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122212",
            "telephone_number": "405-858-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N HUDSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033918",
            "telephone_number": "405-272-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE-HICKS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Chantell Landry, M.D.
• Hanna Marie Landry, PTA
• Lane E. Tinsley, MD, PLLC
• Lane Inc.
• Barbara Sue Lane Traylor, MA
• Delaney Lane, OTR
• Jessa Lane, PTA
• Jessica Diana Lane
• Kara Delayne Lane
• Kathryn Lynn Lane

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

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

Verify at the official NPI Registry.