Organization Active NPI

Lake Resilience Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, OH
National Provider Identifier
1013830603
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAKE RESILIENCE COUNSELING, LLC
Practice address
9239 Briarbrook Dr NE
Warren, OH 44484-1749
Phone
(234) 213-1184
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Tori C Lake, LPCCNPI 1053828228
Title
Therapist
Phone
(330) 647-1855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9239 Briarbrook Dr NE
Warren, OH 44484-1749

Mailing address

3617 Elm Rd NE # 135
Warren, OH 44483-2656

National Provider Directory

National Provider Directory

Locations

3617 Elm Rd NE
Warren, OH 44483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1013830603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 ELM RD NE # 135",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 BRIARBROOK DR NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841749",
            "telephone_number": "234-213-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE RESILIENCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "330-647-1855",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.