DESIREE AMBER LANE (NPI# 1417325846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417325846 |
| Entity Type | Individual |
| Full Name | DESIREE AMBER LANE |
| Practice Address |
705 Highway 20 South Hines OR 97738 |
| Mailing Address |
Po Box 138 Burns OR 97720 |
| Practice Telephone | 5415737303 |
| Practice Fax Number | 5415735938 |
| Mailing Telephone | 5415737303 |
| Mailing Fax Number | 5415735938 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | OR | Behavioral Health & Social Service Providers |
| Street Address |
705 HIGHWAY 20 SOUTH |
| City | HINES |
| State | OR |
| Zip Code | 97738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639547060 | Jennifer Ingram Hoke | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1962870394 | Karen K Hunsucker | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834062 | Nalani Zoe Thompson | Registered Nurse | 635 Hwy 20 N, Suite #4, Hines, OR 97738 | 2020-06-05 |
| 1043754955 | Shannon Carroll | Counselor | 120 N Roanoke, Hines, OR 97738 | 2016-12-12 |
| 1306908538 | Kirkland Institute for Child & Family Study, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 705 Highway 20 S, Hines, OR 97738 | 2006-12-14 |
| 1790074557 | Jessica R Horrell | Pharmacist | 629 North Highway 20, Hines, OR 97738 | 2011-04-01 |
| 1558892984 | Cjl Enterprises Inc | Substance Abuse Rehabilitation Facility | 705 Highway 20 S, Hines, OR 97738-2522 | 2017-03-27 |
| 1184053175 | Eastern Oregon Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 705 Highway 20 S, Hines, OR 97738-2522 | 2013-11-11 |
| 1043795305 | Tami Sandell | Counselor | 141 N Milwaukie Ave, Hines, OR 97738-2554 | 2018-10-02 |
| 1922474584 | William Dahl | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2015-08-18 |
| 1689119026 | Ted Cavanaugh | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2016-12-20 |
| 1376086090 | Kenneth Hanson | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2016-11-29 |
| Find all providers in zip 97738 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043795305 | Tami Sandell | Counselor | 141 N Milwaukie Ave, Hines, OR 97738-2554 | 2018-10-02 |
| 1639547060 | Jennifer Ingram Hoke | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1881150159 | Eileen Moery | Counselor | 5000 S 5th Ave, Hines, IL 60141-3030 | 2019-02-12 |
| 1376086090 | Kenneth Hanson | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2016-11-29 |
| 1962870394 | Karen K Hunsucker | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1710068440 | Katherine H. Clark | Counselor | 5th Ave & Roosevelt Rd, Edward Hines Jr Va Hospital 116a6, Hines, IL 60141 | 2006-10-18 |
| 1891738506 | Thomas Martin Grego | Counselor | Hines Va Hospital, Hines, IL 60141 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1205447851 | Connect Restore Thrive Counseling Group | Counselor | 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 | 2020-08-16 |
| 1285243121 | Becky Winters Counseling, LLC | Counselor | 2622 Sw Glacier Pl Ste 140, Redmond, OR 97756-7866 | 2020-07-27 |
| 1720606999 | Kenya Amos | Counselor | 8765 Sw Illahee Ct Apt 102, Wilsonville, OR 97070-8487 | 2020-07-13 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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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.