Lakeview Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAKEVIEW MENTAL HEALTH

Practice address

6100 219TH St SW Ste 480
Mountlake Terrace, WA 98043-2222

Phone

(425) 903-8911

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Alexandra Jamie Pales, ARNPNPI 1598205924

Title

Ceo

Phone

(425) 903-8911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Constellations Mental Health Other name

Electronic endpoints 1

Locations

Practitioners 1

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

• Alexandra Jamie Pales, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountlake Terrace, WA
  • NPI 1598205924
  NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1194341685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW STE 480",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-903-8911",
            "fax_number": "425-502-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW STE 480",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-903-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 SE Everett Mall Way Ste 305",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982082814",
            "country_code": "US",
            "telephone_number": "425-903-8911",
            "fax_number": "425-502-9097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 SE Alder Steet",
            "address_2": "STE 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97214",
            "country_code": "US",
            "telephone_number": "425-903-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKEVIEW MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PALES",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "JAMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-903-8911",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598205924",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakeviewmentalhealth.com",
            "affiliation": "N",
            "address_1": "1000 SE Everett Mall Way Ste 305",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982082814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Constellations Mental Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Constellations Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaine Kuo
• Monica Labrie, BCBA, LBA
• Zack Lacy, LMHCA
• Lydia Miriam Lagrou
• Preston Lake, OTD, OTR
• Kelli Lam, PHARM D
• Kaeli Marie Lamont
• Jordan Andersen Lander, DPT, PT
• Carol Lang
• Madeline Laoprasert

• Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.