Lake Sacajawea Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAKE SACAJAWEA COUNSELING

Doing business as

LAKE SACAJAWEA COUNSELING
LAKE SACAJAWEA MIND AND FAMILY

Practice address

1338 Commerce Ave Ste 301
Longview, WA 98632-3726

Phone

(206) 331-6660

NPI assigned

Aug 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aniezka Jenissen

Title

Owner

Phone

(360) 984-9018

Specialties & licenses 1

Addresses

Other names 3

• LAKE SACAJAWEA COUNSELING Doing business as
• LAKE SACAJAWEA MIND AND FAMILY Doing business as
• LAKESHORE MIND AND FAMILY Other name

Tax ID family

Lake Sacajawea Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeshore Mind and Family PLLC

  • Mental Health Counselor
  • Longview, WA
  • NPI 1225960107
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1003791971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 COMMERCE AVE STE 301",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323726",
            "telephone_number": "206-331-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 COMMERCE AVE STE 301",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323726",
            "telephone_number": "206-331-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SACAJAWEA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "JENISSEN",
        "authorized_official_first_name": "ANIEZKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-984-9018"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE SACAJAWEA COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKE SACAJAWEA MIND AND FAMILY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKESHORE MIND AND FAMILY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Machelle Denise Kurtz I, CP 61083985
• Laboratory Corpoation of America
• Brandon Laborico, BA
• Denny Michael Lafountaine, LMT
• Simon Thomas Lai, MD
• Kennady Lake, AAC, CPC
• Kimberly Lake, BA, CAAR
• Lakeshore Mind and Family PLLC
• Kylee Lamb, LPN
• Wynell Lealynne Lamoreaux, BS, AAC

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.