LANE LEE SHEPHERD (NPI# 1184867905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184867905 |
| Entity Type | Individual |
| Full Name | LANE LEE SHEPHERD |
| Credential | LPC |
| Practice Address |
747 E Saint George Blvd Saint George UT 84770-3035 |
| Practice Telephone | 4356736111 |
| Practice Fax Number | 8006730994 |
| Mailing Telephone | 4356736111 |
| Mailing Fax Number | 8006730994 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4913213-6004 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618084 | Lane E Shepherd | Orthopaedic Surgery | 1200 N State St Rm 3900, Lac Usc Medical Center Orthopaedics, Los Angeles, CA 90033-1029 | 2007-04-17 |
| Street Address |
747 E SAINT GEORGE BLVD |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538175484 | Michael C Stevens | Psychiatry & Neurology | 747 E Saint George Blvd, Saint George, UT 84770-3035 | 2006-07-31 |
| 1891235701 | Sequel Youth Services of Falcon Ridge | Psychiatric Residential Treatment Facility | 747 E Saint George Blvd, Falcon Ridge Ranch, Saint George, UT 84770-3035 | 2017-02-27 |
| 1053864066 | Takavar Ghane | Counselor | 747 E Saint George Blvd, Saint George, UT 84770-3035 | 2016-07-26 |
| 1497108872 | Daryl Lytle | Counselor | 747 E Saint George Blvd, Saint George, UT 84770-3035 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657610 | Michael Jason Marsh | Counselor | 111 W 1st St, Saint George, KS 66535-9621 | 2013-09-30 |
| 1326156860 | Rebecca Woolley Dawson | Counselor | 2480 Red Cliffs Dr, Saint George, UT 84790-5457 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928919 | Frederick Charles Danneman IIi | Counselor | 2059 E 3900 S, Millcreek, UT 84124-1747 | 2020-10-05 |
| 1669084661 | Adrianne Mason | Counselor | 1580 N Hillside Dr, Genola, UT 84655-5066 | 2020-08-20 |
| 1467079509 | Misty Michelle Rosier | Counselor | 3329 W 1400 S, Ogden, UT 84401-9704 | 2020-07-05 |
| 1588200760 | Kelly Morse Counseling, LLC | Counselor | 1092 E 255 S, Layton, UT 84041-4496 | 2019-11-21 |
| 1083258867 | Kim Regina Williams - Redmond | Counselor | 1366 S Legend Hills Dr Ste 130, Clearfield, UT 84015-2373 | 2019-11-04 |
| 1205483609 | Wesley C Bruce | Counselor | 387 N 300 W, Cedar City, UT 84721-3547 | 2019-08-20 |
| 1679128599 | Flourish Therapy Inc | Counselor | 1426 E 820 N, Orem, UT 84097-5481 | 2019-08-07 |
| 1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
| 1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
| 1174088777 | William Lasley Davis | Counselor | 2365 S 5900 W, Mendon, UT 84325-9743 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
Please comment or provide details below to improve the information on LANE LEE SHEPHERD.
| 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.