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JEROME LANE
NPI 1447837646
Counselor - Addiction (Substance Use Disorder) in Shelby, OH

Active since March 25, 2021
2775 STATE ROUTE 39, SHELBY, OH 44875(419) 747-3322 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerome Lane NPPES

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

JEROME LANE (NPI 1447837646) is an individual addiction (substance use disorder) provider in Shelby, Ohio, licensed in Ohio (CDCA.176181) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1447837646
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEROME LANE
Location Address2775 STATE ROUTE 39Shelby, OH 44875-9466
Mailing Address2775 State Route 39Shelby, OH 44875-9466 · (419) 747-3322
Phone(419) 747-3322
Sole ProprietorYes
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1447837646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.176181
2775 STATE ROUTE 39, Shelby, OH 44875
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Other Providers at the Same Location NPPES 20

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

ERICH DUMBECK PCC-S
Counselor (Professional)
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 577-5394
MISS MYCHAL DEEB LSW
Social Worker
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
NICOLE BROWN LPCC
Counselor (Mental Health)
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
MS. STEPHNIE DARBY RN
Registered Nurse
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-0833
MR. MICHAEL EARL BUSSERT BA, CDCA
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
MR. ERIK THOMAS MCKEAN
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
MRS. BERNADETTE I. GUCKERT CDCA
Counselor (Mental Health)
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
MS. AMY BETH CLOSE LSW, LCDC III
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-0826

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 Jerome Lane's NPI number?

The NPI number for Jerome Lane is 1447837646. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Jerome Lane located?

Jerome Lane practices at 2775 State Route 39, Shelby, OH 44875. The listed phone number is (419) 747-3322.

What is Jerome Lane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerome Lane was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.