MRS. KELLY M LANE (LCPC) – Professional Counselor, NPI 1124474119

MRS. KELLY M LANE (LCPC) is a healthcare provider. based in Sedgwick, Kansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 2175 (KS). The NPI Number for MRS. KELLY M LANE (LCPC) is 1124474119

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY M LANE (LCPC)
NPI
1124474119
Phone
(316) 217-3865
Address
21910 W 113TH ST N
Enumeration Date
9 May 2016
Last Update Date
22 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
3476092107
Professional Enrollment ID
I20240827000526
Address ID
KS671359577SE21910NXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

387 MENTAL HEALTH COUNSELOR in KS

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Provider Addresses for MRS. KELLY M LANE (LCPC)

  • 21910 W 113TH ST N

    SEDGWICK, KS 671359577

    Phone: (316) 217-3865

    Type: Mailing

  • 501, North Monroe Street, Hutchinson, Reno County, Kansas, 67501, United States

    HUTCHINSON, KS 675011345

    Phone: (620) 669-3734

    Fax: (620) 669-3739

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240827000526IMental Health CounselorKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67135)

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Reviews

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Frequently asked questions

What number should I use to identify MRS. KELLY M LANE (LCPC) for billing?
Administrative and clinical systems typically use NPI 1124474119 for MRS. KELLY M LANE (LCPC).
Does the public listing show MRS. KELLY M LANE (LCPC) as active?
MRS. KELLY M LANE (LCPC)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. KELLY M LANE (LCPC) does?
Insurance directories may phrase it differently, but here MRS. KELLY M LANE (LCPC) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KELLY M LANE (LCPC)?
The directory associates MRS. KELLY M LANE (LCPC) with Sedgwick, Kansas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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