Individual provider Active NPI

Patricia Mary Lake, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1457332835
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3297 Issued in NM
Practice address
2450 Alamo Ave SE
Milagro Program
Albuquerque, NM 87106-3204
Phone
(505) 925-2493
Fax
(505) 925-2491
NPI assigned
Nov 11, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3297 NM Primary

Addresses

Primary practice location

2450 Alamo Ave SE
Milagro Program
Albuquerque, NM 87106-3204

Mailing address

2800 Candelaria Rd NW
Albuquerque, NM 87107-2915
Phone (505) 925-2493

Other identifiers 1

IdentifierTypeStateIssuer
79973337MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004808 NM Practitioner - Mental Health Counselor 3971044876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Rachelle Mechenbier LLCGroup PAC ID 6901349992, 4 clinicians

Practice addresses (Care Compare)

1014 Lomas Blvd NW
Albuquerque, NM 87102-1945
Phone (505) 710-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3297NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachelle Mechenbier LLC CurrentSince Sep 6, 2024 Accepting new patients
Brain and Behavioral Associates, PC PastSince Sep 6, 2024 Accepting new patients

Locations

1014 Lomas Blvd NW
Albuquerque, NM 87102
Phone (505) 243-0355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457332835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072915",
            "telephone_number": "505-925-2493",
            "fax_number": "505-925-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ALAMO AVE SE",
            "address_2": "MILAGRO PROGRAM",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063204",
            "telephone_number": "505-925-2493",
            "fax_number": "505-925-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79973337",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.