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MS. MYIA CORMICHEL LANE LCSW
NPI 1831870815
Social Worker - Clinical in Gulfport, MS

Active since July 31, 2023PECOS Enrolled
4605 GOLDFINCH DR, GULFPORT, MS 39501(228) 219-5219 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Myia Cormichel Lane Lcsw NPPES

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

MS. MYIA CORMICHEL LANE LCSW (NPI 1831870815) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (C11117) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gulfport.

NPPES Registry Identity

NPI1831870815
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MYIA CORMICHEL LANECredential: LCSW
Location Address4605 GOLDFINCH DRGulfport, MS 39501-7218
Mailing Address69 Holly CirGulfport, MS 39501-8629 · (228) 219-5219
Phone(228) 219-5219
Sole ProprietorYes
Enumeration DateJuly 31, 2023
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1831870815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · C11117
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X · License M9748 (MS)
4605 GOLDFINCH DR, Gulfport, MS 39501
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Secondary Practice Location 1

Location 169 Holly CirGulfport, MS 39501-8629 · Phone (228) 219-5219

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Myia Cormichel Lane Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Myia Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Professional Counseling Services, LLC
2.3 mi
Clinical
1390 29TH AVE STE B
Gulfport, MS 39501
  • Reassigned Medicare billing, Mississippi enrollment
  • 12 clinicians in this Medicare group
NPI 1750878781 (228) 220-4226

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Myia Lane's NPI number?

The NPI number for Myia Lane is 1831870815. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Myia Lane located?

Myia Lane practices at 4605 Goldfinch Dr, Gulfport, MS 39501. The listed phone number is (228) 219-5219.

What is Myia Lane's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Myia Lane enrolled in Medicare?

Yes. Myia Lane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Myia Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myia Lane reassigns Medicare benefits to Premier Professional Counseling Services, LLC (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Myia Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Myia Lane accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Myia Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myia Lane was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.