IndividualActive
Tisha Lane, MS, LMHC
NPI 1679905699 · Mental Health Counselor · Fort Myers, FL
Provider details
- NPI number
- 1679905699
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LMHC
- Sex
- Female
- Sole proprietor
- No
- License
- MH18110 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15879 Willoughby Ln
Fort Myers, FL 33905-2416
Phone: (239) 349-0216
Fax: (941) 275-6307
Street-level locationGet directions
Mailing address
15879 Willoughby Ln
Fort Myers, FL 33905-2416
Additional practice locations (2)
- 475 Biltmore Way Ste 109Coral Gables, FL 33134-5724Phone: (415) 424-4266
- 1853 Victoria AveFort Myers, FL 33901-3428Phone: (239) 841-5835
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.