CORY LANE (NPI# 1861968901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861968901 |
| Entity Type | Individual |
| Full Name | CORY LANE |
| Credential | LMHCA, CDPT |
| Practice Address |
999 164th Ave Ne Bellevue WA 98008-3518 |
| Mailing Address |
110 W Rivmont Dr Monroe WA 98272-9737 |
| Practice Telephone | 4252748394 |
| Mailing Telephone | 3013677550 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60788417 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60831028 | WA | Behavioral Health & Social Service Providers |
| Street Address |
999 164TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98008-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356496335 | Youth Eastside Services | Community/Behavioral Health | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2007-01-23 |
| 1730795535 | Bridgette Graham | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-09-17 |
| 1851904262 | Amy Nance | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-08-25 |
| 1558974238 | Sydney Miller | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-08-24 |
| 1114538576 | David Wakukawa | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-08-11 |
| 1851900526 | Caitlin Elizabeth Mackintosh | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-28 |
| 1750990982 | Bushra Qayyum Qureshi | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-23 |
| 1023626934 | Bonnie J Hickenbotham | Marriage & Family Therapist | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-16 |
| 1043828098 | Maria Rosa Duarte | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-15 |
| 1518585322 | Stacy Mears | Counselor | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528540416 | Rodica Belindean | Nurse's Aide | 3022 167th Ave Ne, Bellevue, WA 98008 | 2018-09-06 |
| 1831600030 | Daily Nutrition for Life LLC | Nutritionist | 15600 Ne 8th St Ste B1-707, Bellevue, WA 98008 | 2017-10-16 |
| 1871003913 | Sara Ann Glatz | Massage Therapist | 51 157th Ave Se, Bellevue, WA 98008 | 2017-10-03 |
| 1336555630 | Elizabeth Cheri Anne Smith | Dentist | 1223 158th Ave Se, Bellevue, WA 98008 | 2014-07-08 |
| 1407269731 | Akiko Kinney | Counselor | 16301 Ne 8th St., Bellevue, WA 98008 | 2014-06-04 |
| 1184042996 | Sara Francine York | Counselor | 16301 Ne 8th St. Ste 150, Puget Sound Child and Family Therapy, Bellevue, WA 98008 | 2014-03-31 |
| 1861819906 | Kimberly Song Truong | Acupuncturist | 15650 Ne 24th Street, Suite C1, Bellevue, WA 98008 | 2014-03-26 |
| 1336414614 | Alison Butler | Massage Therapist | 50 157th Ave Se, Bellevue, WA 98008 | 2012-03-20 |
| 1184998593 | Zynergy Chiropractic | Chiropractor | 15616 Bel-red Rd, Bellevue, WA 98008 | 2012-03-02 |
| 1043516149 | Ricardo Fernandez | Massage Therapist | 16301 Ne8th St Suite280, Bellevue, WA 98008 | 2011-02-07 |
| Find all providers in zip 98008 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931416 | Lauren Dudugjian | Counselor | 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 | 2020-10-27 |
| 1760080345 | Carli Rhylander | Counselor | 2009 Nottingham Dr, Bellevue, NE 68123-2046 | 2020-10-15 |
| 1023621877 | Eileen S Putter | Counselor | 14011 Se 49th Pl, Bellevue, WA 98006-3401 | 2020-08-30 |
| 1326657164 | Tamasin Raiswell | Counselor | 1611 116th Ave Ne Ste 211, Bellevue, WA 98004-3064 | 2020-07-28 |
| 1194349415 | Le Center for Health & Wellness, Inc. | Counselor | 15015 Main St Ste 210, Bellevue, WA 98007-5229 | 2020-06-02 |
| 1447888326 | Carlos M Del Rio | Counselor | 4009 Raynor Pkwy Apt 2120, Bellevue, NE 68123-6103 | 2020-03-27 |
| 1386270221 | Danthony T Smith | Counselor | 10608 Ne 2nd St, Bellevue, WA 98004-5157 | 2020-03-22 |
| 1538708169 | Anna L Redgrave | Counselor | 15659 Se 9th St, Bellevue, WA 98008-4901 | 2019-12-30 |
| 1508401142 | Jennifer Flores | Counselor | 3145 Whiteman Dr, Bellevue, NE 68123-1625 | 2019-11-07 |
| 1861037467 | Alyssa Rose Overton | Counselor | 1231 116th Ave Ne Ste 410, Bellevue, WA 98004-3804 | 2019-11-07 |
| Find all providers in BELLEVUE | ||||
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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.