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NICOLE ADELLE LANE PSS
NPI 1366964041
Peer Specialist in Eugene, OR

Active since July 13, 2017
261 E 12TH AVE, EUGENE, OR 97401(541) 342-8437(541) 242-2999 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2024, Sep 20, 2019, Jul 13, 2017 (3 updates tracked since 2017).

About Nicole Adelle Lane Pss NPPES

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

NICOLE ADELLE LANE PSS (NPI 1366964041) is an individual peer specialist in Eugene, Oregon, licensed in Oregon (THW0001929) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1366964041
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE ADELLE LANECredential: PSS
Location Address261 E 12TH AVEEugene, OR 97401-3208
Mailing Address1258 High StEugene, OR 97401-3238 · (541) 342-8437 · Fax (541) 242-2999
Phone(541) 342-8437
Fax(541) 242-2999
Sole ProprietorYes
Enumeration DateJuly 13, 2017
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1366964041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW0001929
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.
261 E 12TH AVE, Eugene, OR 97401
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Other Providers at the Same Location NPPES 14

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

HUIYING JESSICA ZHOU TULL
Counselor (Mental Health)
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437
SANDRA M STARR LCSW
Social Worker (Clinical)
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437
JASMIN CHRZAN LPC
Counselor (Mental Health)
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437
TORRY SANDERSON
Peer Specialist
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437
NAOMI PEDERSON
Counselor
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437
KELLY LAURA LACOST THW, PSS
Counselor (Mental Health)
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 780-4277
CENTER FOR FAMILY DEVELOPMENT, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437
KELLIE BARROWS-RUIZ
Counselor (Addiction (Substance Use Disorder))
261 E 12TH AVE
EUGENE, OR 97401
Lane County (541) 342-8437

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 Nicole Lane's NPI number?

The NPI number for Nicole Lane is 1366964041. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Nicole Lane located?

Nicole Lane practices at 261 E 12th Ave, Eugene, OR 97401. The listed phone number is (541) 342-8437.

What is Nicole 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 Nicole Lane was last updated on November 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.