James Andrew Lake, LCMFT, SCC-C, DMINN

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

LCMFT0559020423 Issued in FL

Practice address

4461 Buckingham Rd
Fort Myers, FL 33905-7221

Phone

(330) 333-1909

NPI assigned

Oct 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. J Andy Lake Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Family Counseling, LLC

  • Pastoral Counselor
  • Fort Myers, FL
  • NPI 1174499735
  NPD Authorized official

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1356217913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 BUCKINGHAM RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057221",
            "telephone_number": "330-333-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 BUCKINGHAM RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057221",
            "telephone_number": "330-333-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "LCMFT, SCC-C, DMINN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "LCMFT0559020423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LAKE",
            "middle_name": "ANDY",
            "prefix": "DR.",
            "credential": "LCMFT, SCC-C, DMINN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alex Leyon Lagodzinski, APRN, FNP-BC
• Robert George Anthony Laing
• Kelli Laird, LPN
• Lake Diabetes Supply, Inc
• Lake Family Counseling, LLC
• Lakshmi Bushan MD PA
• Emily Laliberte
• Bharti S Lalla, M.D.
• Sunil N Lalla, MD
• Suying Del Carmen Lam Barriga, MD

• Pastoral Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.