JEREMY DAVID LANE (NPI# 1154695625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154695625 |
| Entity Type | Individual |
| Full Name | JEREMY DAVID LANE |
| Credential | LPC, NCC |
| Practice Address |
309 E 3rd St Apt 5 Rome GA 30161-3194 |
| Mailing Address |
309 East 3rd St. (apt. 5) Rome GA 30161 |
| Practice Telephone | 4044256264 |
| Mailing Telephone | 4044256264 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC006218 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568915452 | Jeremy Lane | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2016-07-27 |
| 1013233592 | Jeremy Heath Lane | Pharmacist | 318 Jackson Ave S, Russellville, AL 35653-2207 | 2010-04-09 |
| 1144205220 | Jeremy Lane Jr. | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-12-12 |
| Street Address |
309 E 3RD ST APT 5 |
| City | ROME |
| State | GA |
| Zip Code | 30161-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609340892 | Rosemary Jean Garone | Counselor | 504 Riverside Pkwy Ne Ste 114, Rome, GA 30161-2981 | 2019-01-22 |
| 1821526450 | Whitney Gates | Counselor | 1400 Crane St Sw, Rome, GA 30161-6333 | 2017-05-26 |
| 1881138881 | Council for Community Wellness | Counselor | 1148 N Broad St Ne, Rome, GA 30161-5209 | 2016-12-09 |
| 1023552288 | Wilbur Roe II | Counselor | 17 Weathers Rd Sw, Rome, GA 30165-4152 | 2016-12-07 |
| 1265837728 | Carrie Renee Dentino | Counselor | 107 Macarthur Dr, Rome, NY 13440-3818 | 2014-10-27 |
| 1710398748 | Sara Nicole Bessette | Counselor | 143 W Dominick St, Rome, NY 13440-5857 | 2014-05-13 |
| 1700219995 | Rene' Marie Ciaccia | Counselor | 1303 Bedford St, Rome, NY 13440-2601 | 2013-08-12 |
| 1922448794 | Mauricia Anitra Pledger | Counselor | 215 Robin Hood Rd Ne, Rome, GA 30161-5853 | 2013-06-26 |
| 1154565885 | Karen Louise Flemming | Counselor | 1019 Westbrook Dr, Rome, NY 13440-2535 | 2009-04-24 |
| 1659590057 | Stephen Mayo Macgregor | Counselor | 6 Mathias Dr., Rome, GA 30165-7015 | 2007-04-24 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.