Lakeshore Mind and Family PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAKESHORE MIND AND FAMILY PLLC

Doing business as

LAKE SACAJAWEA COUNSELING
LAKE SACAJAWEA MIND AND FAMILY

Practice address

1338 Commerce Ave Ste 301
Longview, WA 98632-3726

Phone

(360) 984-9018

NPI assigned

Jun 2, 2026

Organization subpart

No

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

Authorized official

Name

Aniezka M Jenissen, LMHC

Title

Managing Member

Phone

(360) 984-9018

Specialties & licenses 1

Addresses

Other names 2

• LAKE SACAJAWEA COUNSELING Doing business as
• LAKE SACAJAWEA MIND AND FAMILY Doing business as

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.

• Lake Sacajawea Counseling

  • Mental Health Counselor
  • Longview, WA
  • NPI 1003791971
  NPD tax ID

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1225960107",
    "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": "360-984-9018"
        },
        {
            "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": "360-984-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MIND AND FAMILY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "JENISSEN",
        "authorized_official_first_name": "ANIEZKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-984-9018",
        "authorized_official_credential": "LMHC"
    },
    "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"
        }
    ]
}

• Denny Michael Lafountaine, LMT
• Simon Thomas Lai, MD
• Lake Sacajawea Counseling
• Kennady Lake, AAC, CPC
• Kimberly Lake, BA, CAAR
• Kylee Lamb, LPN
• Wynell Lealynne Lamoreaux, BS, AAC
• Kylee Brook Lancaster, SUDP-T
• Lance D Brigman, MD, PS
• Nicole Leanne Landry, M.D.

• 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 2, 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.