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MS. JACLYN LANE LMHCA, SUDP
NPI 1184054520
Counselor - Mental Health in Woodinville, WA

Active since November 21, 2013
17311 135TH AVE NE STE A800, WOODINVILLE, WA 98072(425) 409-6414 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2021, Sep 28, 2018, Nov 2, 2016 (3 updates tracked since 2016).

About Ms. Jaclyn Lane Lmhca, Sudp NPPES

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

MS. JACLYN LANE LMHCA, SUDP (NPI 1184054520) is an individual mental health provider in Woodinville, Washington, licensed in Washington (MC60894412) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1184054520
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JACLYN LANECredential: LMHCA, SUDP
Location Address17311 135TH AVE NE STE A800Woodinville, WA 98072-3581
Mailing Address414 Front St NIssaquah, WA 98027-2914 · (425) 392-6367
Phone(425) 409-6414
Sole ProprietorNo
Enumeration DateNovember 21, 2013
Last NPPES UpdateMay 19, 20213 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1184054520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC60894412
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO60250615 (WA)
17311 135TH AVE NE STE A800, Woodinville, WA 98072
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Other Providers at the Same Location NPPES

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

VERNA HARMS ARNP
Nurse Practitioner (Family)
17311 135TH AVE NE STE A800
WOODINVILLE, WA 98072
King County (425) 286-6256

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 Jaclyn Lane's NPI number?

The NPI number for Jaclyn Lane is 1184054520. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Where is Jaclyn Lane located?

Jaclyn Lane practices at 17311 135th Ave NE Ste A800, Woodinville, WA 98072. The listed phone number is (425) 409-6414.

What is Jaclyn Lane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jaclyn Lane was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.