Individual provider · Type 1 NPI

Jessica D. Lane, LPCC-S, LICDC-CS

Professional Counselor · Centerville, OH

NPI number 1083195796 Active

Practice location

6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697

Call (216) 468-5000 Map

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

  • 113 E Central Ave, West Carrollton, OH 45449-1843 · (937) 247-9015
  • 100 Elmwood Park Dr, Dayton, OH 45449-5402 · (937) 384-0580

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161705 (OH)
Professional Counselor Primary 101YP2500XE.2001904-SUPV (OH)

Professional Counselor: Definition to come...

15 other providers at this address

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About NPI 1083195796

Jessica D. Lane, LPCC-S, LICDC-CS's National Provider Identifier is 1083195796, issued on Aug 22, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Centerville, OH. The record was last updated on Jul 16, 2026.