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KIRT LANE CPC
NPI 1013541341
Peer Specialist in Longview, WA

Active since February 25, 2020
1408 12TH AVENUE, LONGVIEW, WA 98632(360) 998-3050(360) 200-6736 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, Feb 25, 2020 (2 updates tracked since 2020).

About Kirt Lane Cpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRT LANE CPC (NPI 1013541341) is an individual peer specialist in Longview, Washington and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1013541341
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKIRT LANECredential: CPC
Location Address1408 12TH AVENUELongview, WA 98632-3822
Mailing AddressPo Box 2394Longview, WA 98632 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 998-3050
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateFebruary 25, 2020
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1013541341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1408 12TH AVENUE, Longview, WA 98632
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Other Identifiers 1

Medicaid2154878WA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISHA JOHNSTON
Peer Specialist
1408 12TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050
WYNELL LEALYNNE LAMOREAUX BS, AAC
Counselor
1408 12TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 998-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirt Lane's NPI number?

The NPI number for Kirt Lane is 1013541341. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Kirt Lane located?

Kirt Lane practices at 1408 12th Avenue, Longview, WA 98632. The listed phone number is (360) 998-3050.

What is Kirt Lane's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kirt Lane was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.