Active NPI
Emily Lynn Lake, LPC
- Mental Health Counselor
- Spencer, IA
National Provider Identifier
1023604139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 108627
- Practice address
- 20 W 6TH St Ste 305
Spencer, IA 51301-3906 - Phone
- (605) 741-4047
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-MH30701 | SD | |
| Mental Health Counselor | 101YM0800X | 108627 | IA | Primary |
Addresses
Primary practice location
20 W 6TH St Ste 305
Spencer, IA 51301-3906
Mailing address
20 W 6TH St Ste 305
Spencer, IA 51301-3906
Phone (605) 741-4047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-MH30701 | SD | MD | Mental Health Counselor |
| 108627 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Counseling, LLC | Current | Accepting new patients |
Locations
20 W 6th St
Ste 305
Spencer, IA 51301
Phone (605) 741-4047
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spencer, IA
- NPI 1992445977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1023604139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W 6TH ST STE 305",
"city": "SPENCER",
"state": "IA",
"postal_code": "513013906",
"telephone_number": "605-741-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 6TH ST STE 305",
"city": "SPENCER",
"state": "IA",
"postal_code": "513013906",
"telephone_number": "605-741-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "EMILY",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MH30701",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "108627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.