Emily Elizabeth Lake, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT 2904 Issued in FL

Practice address

15291 NW 60TH Ave- Coconut Grove Recovery
Ste 201
Miami Lakes, FL 33014-2460

Phone

(540) 323-3579

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Nova Southeastern College of Osteo Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1083070676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NW 47TH PL",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333193402",
            "telephone_number": "540-323-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE- COCONUT GROVE RECOVERY",
            "address_2": "STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142460",
            "telephone_number": "540-323-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephania Lairet, MD
• Lake Case Management Services LLC
• Lake Medical Group, LLC
• Lake Medical Group, LLC
• Lake Medical Services Inc
• Michelle Christina Lake, LMHC, EDD
• Lakes Ambulatory Surgical Center
• Lakes Dialysis Center,Inc
• Lakes Equipment & Supplies, Inc.
• Lakes Healthcare & Spa

• Marriage & Family Therapist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.