Jessica Lee Lane, MS-MFT, ALMFT is a 
Marriage & Family Therapist based in Roscoe, Illinois. Jessica Lee Lane is licensed to practice in Illinois (license number 208.00854) and her current practice location is 
5290 Williams Dr, Roscoe, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(815) 324-0324.
NPI number for Jessica Lee Lane is 1710584917 and her current mailing address is 8616 Scott Ln, Machesney Park, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710584917.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jessica Lee Lane | 
|---|
| Gender | Female | 
|---|
| Speciality | Marriage & Family Therapist | 
|---|
| Location | 5290 Williams Dr, Roscoe, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1710584917
- Provider Enumeration Date: 10/01/2020
- Last Update Date: 11/16/2020
 
		 
		 
Medical Identifiers
		Medical identifiers for Jessica Lee Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1710584917 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 106H00000X | Marriage & Family Therapist | 208.00854 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
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. Jessica Lee Lane is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Jessica Lee Lane, MS-MFT, ALMFT 8616 Scott Ln,
 Machesney Park, IL 61115-2586
 Ph: (815) 914-0063
 | Jessica Lee Lane, MS-MFT, ALMFT 5290 Williams Dr,
 Roscoe, IL 61073-9222
 Ph: (815) 324-0324
 | 
		
		 
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