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MR. WILLIAM BRADFORD LANE JR. LPC
NPI 1124542147
Counselor in Pocatello, ID

Active since August 01, 2017
409 WASHINGTON AVE, POCATELLO, ID 83201(208) 234-2646 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

About Mr. William Bradford Lane Jr. Lpc NPPES

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

MR. WILLIAM BRADFORD LANE JR. LPC (NPI 1124542147) is an individual counselor in Pocatello, Idaho, licensed in Idaho (LPC-6550) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1124542147
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. WILLIAM BRADFORD LANE JR.Credential: LPC
Location Address409 WASHINGTON AVEPocatello, ID 83201-4520
Mailing Address409 Washington AvePocatello, ID 83201-4520 · (208) 234-2646
Phone(208) 234-2646
Sole ProprietorYes
Enumeration DateAugust 1, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1124542147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · LPC-6550
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
409 WASHINGTON AVE, Pocatello, ID 83201
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Other Identifiers 1

Medicaid1619177797ID

Other Providers at the Same Location NPPES 10

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

MS. DEDRA CHRISTINE SANNA LCPC
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
MRS. CASSIDY MICHELLE ROSKE LPC
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
HEATHER YOUNG
Social Worker (Clinical)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
KARI ANNA KOON LPC, CRC, M. COUN
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
KATHERINE ANN DOWNES LCPC
Counselor (Professional)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
BROOKS BASTIAN HANKS LPC, MCOUN.
Counselor (Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
ANNE TIERNEY LPC
Counselor
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646
BRIGHT TOMORROWS, INCORPORATED
Clinic/Center (Adolescent and Children Mental Health)
409 WASHINGTON AVE
POCATELLO, ID 83201
Bannock County (208) 234-2646

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 William Lane's NPI number?

The NPI number for William Lane is 1124542147. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is William Lane located?

William Lane practices at 409 Washington Ave, Pocatello, ID 83201. The listed phone number is (208) 234-2646.

What is William Lane's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for William Lane was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.