Active NPI
Scott Gale Lane
- Addiction (Substance Use Disorder) Counselor
- Pueblo, CO
National Provider Identifier
1932819083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACC.0004528
- Practice address
- 3500 Baltimore Ave
Pueblo, CO 81008-1543 - Phone
- (719) 545-1181
- Fax
- (719) 545-1191
- NPI assigned
- Nov 30, 2022
- Last updated
- Nov 30, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0004528 | CO | Primary |
Addresses
Primary practice location
3500 Baltimore Ave
Pueblo, CO 81008-1543
Mailing address
3500 Baltimore Ave
Pueblo, CO 81008-1543
Phone (719) 545-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACC.0004528 | Other | CO | CERTIFIED ADDICTIONS SPECIALIST |
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 |
|---|---|---|---|
| ACC.0004528 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1932819083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 BALTIMORE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081543",
"telephone_number": "719-545-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 BALTIMORE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081543",
"telephone_number": "719-545-1181",
"fax_number": "719-545-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "SCOTT",
"middle_name": "GALE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0004528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ADDICTIONS SPECIALIST",
"identifier": "ACC.0004528",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.