KELLY LANE LPC
NPI 1699447052
Counselor - Mental Health in Mentor, OH

Q: What is Kelly Lane's NPI number?

The NPI number for Kelly Lane is 1699447052. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Q: What is Kelly Lane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Lane was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 04, 2021PECOS Enrolled

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Lane Lpc NPPES

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

KELLY LANE LPC (NPI 1699447052) is an individual mental health provider in Mentor, Ohio, licensed in Ohio (C2103787) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699447052

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY LANECredential: LPC

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address35888 Center Ridge Rd Ste 5North Ridgeville, OH 44039-3086 · (440) 327-1800 · Fax (440) 327-1533

Phone(440) 578-8200

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 4, 2021

Last NPPES UpdateAugust 29, 2024

NPPES CertifiedAugust 29, 2024

✔ NPI 1699447052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · C2103787

7232 JUSTIN WAY, Mentor, OH 44060

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lane Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103308556

PECOS Enrollment IDI20260304003256

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. TIFFANY JONES M.D.

Psychiatry & Neurology (Psychiatry)