JENNIFER LAKE (NPI# 1164079968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164079968 |
| Entity Type | Individual |
| Full Name | JENNIFER LAKE |
| Practice Address |
11335 Ne 122nd Way Ste 105 Kirkland WA 98034-6933 |
| Mailing Address |
1286 Cross Creek Blvd Hernando MS 38632 |
| Practice Telephone | 6625712025 |
| Mailing Telephone | 6625712025 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60971860 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1286 Cross Creek Blvd, Hernando, MS 38632 | 6625712025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467799940 | Jennifer Lake | Massage Therapist | 5211 Highway 153 Ste D, Hixson, TN 37343-4957 | 2013-01-03 |
| 1801199302 | Jennifer Marie Lake | Marriage & Family Therapist | 2233 N. Hamline Ave., Suite 411, Roseville, MN 55113 | 2010-12-06 |
| 1245205301 | Jennifer A Lake | Family Medicine | 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 | 2006-02-22 |
| 1760006506 | Jennifer L Lake | Case Manager/Care Coordinator | 4298 Great Egret Way, Middleburg, FL 32068-8760 | 2020-06-07 |
| 1669007597 | Jennifer Lake | Physical Medicine & Rehabilitation | 112 Harcourt Rd, Mount Vernon, OH 43050-3946 | 2020-03-11 |
| 1679090187 | Jennifer Diane Lake | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2017-08-25 |
| 1922461441 | Jennifer Lake | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2016-04-01 |
| 1285073924 | Jennifer Marie Lake | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2013-06-16 |
| 1881821239 | Jennifer R. Lake | Advanced Practice Midwife | 12605 E 16th Ave, University of Colorado, Aurora, CO 80045-2545 | 2009-06-12 |
| 1740436617 | Jennifer Belle Lake | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2008-08-12 |
| Street Address |
11335 NE 122ND WAY STE 105 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003231218 | Shellie Respess | Counselor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2014-02-25 |
| 1609477538 | Copestone Psychiatric, LLC | Nurse Practitioner | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2020-11-06 |
| 1982226353 | Emily Greene-hartsfield | Naturopath | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2020-05-08 |
| 1184285272 | Alex Lee Engen | Chiropractor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-06-28 |
| 1962964460 | Maria Coronado Rebolledo | Behavior Technician | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-04-03 |
| 1841752755 | Lindsey Grimm | Behavior Technician | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-04-01 |
| 1437610797 | Talia Keller | Behavior Technician | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-03-28 |
| 1013487925 | Salute Nutrition, Pllc | Nutritionist | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2018-12-04 |
| 1134517261 | Flow Psychology Pllc | Psychologist | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2014-12-23 |
| 1407250079 | Clairemarie Clark | Psychologist | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2014-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940563 | Caewyn Barnett | Counselor | 312 11th Ave W Ste 201, Kirkland, WA 98033-5326 | 2020-10-19 |
| 1306465828 | Yvette Stone | Counselor | 11416 Slater Ave Ne Ste 203, Kirkland, WA 98033-8827 | 2020-04-14 |
| 1003370552 | Angela Rae Schellenberg | Counselor | 9757 Ne Juanita Dr Ste 206a, Kirkland, WA 98034-4291 | 2019-01-29 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1295245033 | Melissa Monahan | Counselor | 11416 Slater Ave Ne Ste 203a, Kirkland, WA 98033-4600 | 2017-10-06 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1427589969 | Margarita Lalayan | Counselor | 7316 Ne 142nd Pl, Unit A, Kirkland, WA 98034-4957 | 2017-03-26 |
| 1952843542 | Vea Counseling Services | Counselor | 14112 82nd Pl Ne, Kirkland, WA 98034-5063 | 2016-11-14 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| 1033564570 | John F Koch | Counselor | 13642 103rd Ave Ne, Kirkland, WA 98034-2045 | 2016-05-03 |
| Find all providers in KIRKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.