Active NPI
Andrew Lane
- Counselor
- Wenatchee, WA
National Provider Identifier
1891243770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60679469
- Practice address
- 627 S Elliott Ave
Wenatchee, WA 98801-3195 - Phone
- (509) 888-5646
- Fax
- (509) 888-5648
- NPI assigned
- Sep 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60679469 | WA | Primary |
Addresses
Primary practice location
627 S Elliott Ave
Wenatchee, WA 98801-3195
Mailing address
145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 888-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60679469 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Family & Child Service | Past | Accepting new patients |
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Wenatchee, WA
- NPI 1245687904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1891243770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S WORTHEN ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013081",
"telephone_number": "509-888-5646",
"fax_number": "509-888-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 S ELLIOTT AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013195",
"telephone_number": "509-888-5646",
"fax_number": "509-888-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-20",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60679469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.