MS. BETSY LANE (LPC, CSAC) – Professional Counselor, NPI 1457729436

MS. BETSY LANE (LPC, CSAC) is a healthcare provider. based in Watertown, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, CSAC. They hold a License No. 17042-132 (WI). The NPI Number for MS. BETSY LANE (LPC, CSAC) is 1457729436

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. BETSY LANE (LPC, CSAC)
NPI
1457729436
Phone
(262) 719-6731
Address
604 WOODBRIDGE TRL
Enumeration Date
9 September 2015
Last Update Date
29 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9206743105
Graduation Year
2016 (10 years ago)
PAC ID
3779921598
Group Practice PAC ID
2264496801
Professional Enrollment ID
I20240329000557
Address ID
WI535499803JE1541XRDXX300
Telehealth
Yes
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

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MS. BETSY LANE (LPC, CSAC)

  • 604 WOODBRIDGE TRL

    WATERTOWN, WI 530946092

    Phone: (262) 719-6731

    Type: Mailing

  • 1541 ANNEX RD

    JEFFERSON, WI 535499803

    Phone: (920) 674-3105

    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: 2024-03-29

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
I20240329000557IMental Health CounselorWITBD

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 53094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264496801View full group profile
NameSpecialtyState
Nurse PractitionerWI
Mental Health CounselorWI
P S Y C H I A T R YWI
Clinical Social WorkerWI
-WI
Clinical Social WorkerWI
Nurse PractitionerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What federal number belongs to MS. BETSY LANE (LPC, CSAC)?
The federal identifier for MS. BETSY LANE (LPC, CSAC) is NPI 1457729436.
Is MS. BETSY LANE (LPC, CSAC) active in the national directory?
MS. BETSY LANE (LPC, CSAC)'s public NPI profile is in an active state.
What kind of provider is MS. BETSY LANE (LPC, CSAC)?
The page reflects Professional Counselor for MS. BETSY LANE (LPC, CSAC). Clinical services aligned with this taxonomy classification.
Does MS. BETSY LANE (LPC, CSAC) practice in Wisconsin?
You will see Watertown, Wisconsin on file for MS. BETSY LANE (LPC, CSAC) alongside any extra practice locations.
What if Watertown, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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