Mrs Tisha Jane Lane, MS, LMHC in Fort Myers, FL

Mrs Tisha Jane Lane, MS, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Myers, Florida. Her current practice location is 15879 Willoughby Ln, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 349-0216.

Mrs Tisha Jane Lane is licensed to practice in Florida (license number MH18110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679905699.

Contact Information

	Mrs Tisha Jane Lane, MS, LMHC
	15879 Willoughby Ln, Fort Myers, FL 33905-2416
	(239) 349-0216
	(941) 275-6307

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tisha Jane Lane
Gender	Female
Speciality	Counselor - Mental Health
Location	15879 Willoughby Ln, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679905699
Provider Enumeration Date: 08/01/2013
Last Update Date: 08/08/2025

Medicare PECOS Information:

PECOS PAC ID: 6608218508
Enrollment ID: I20240523001722

Medical Identifiers

Medical identifiers for Mrs Tisha Jane Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679905699	NPI	-	NPPES
105953500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH18110 (Florida)	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tisha Jane Lane allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tisha Jane Lane is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tisha Jane Lane, MS, LMHC 15879 Willoughby Ln, Fort Myers, FL 33905-2416 Ph: (239) 349-0216	Mrs Tisha Jane Lane, MS, LMHC 15879 Willoughby Ln, Fort Myers, FL 33905-2416 Ph: (239) 349-0216

Reviews and Comments

Counselor in Fort Myers, FL

Bethaney Lynne Hoffacker, MA, LMHC-QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 College Pkwy Ste 103, Fort Myers, FL 33919 Phone: 941-258-6944
Jamie Gilles, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 Phone: 239-343-9180 Fax: 239-343-9188
Zachira Josefina Gonzalez, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6631 Orion Dr, Fort Myers, FL 33912 Phone: 239-246-0381
Ms. Daneen Barker Clarke, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Allen St, Fort Myers, FL 33916 Phone: 239-243-8794
Mr. Frank David Kohn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Suite 17, Fort Myers, FL 33907 Phone: 239-939-3911 Fax: 239-939-3911
Ms. Tina Friedman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8695 College Pkwy, 2258, Fort Myers, FL 33919 Phone: 239-489-4705 Fax: 239-489-2732
Mary Hemrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1940 Maravilla Ave, Fort Myers, FL 33901 Phone: 239-334-0222

Mrs Tisha Jane Lane, MS, LMHC - Medicare Counselor in Fort Myers, FL