Rhonda Katherine Lake, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-14597 Issued in AZ

Practice address

14900 W Van Buren St
BLDG. F
Goodyear, AZ 85338-3002

Phone

(623) 882-2509

NPI assigned

May 6, 2014

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1467862839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 W VAN BUREN ST",
            "address_2": "BLDG. F",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383002",
            "telephone_number": "623-882-2509",
            "fax_number": "623-748-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 W VAN BUREN ST",
            "address_2": "BLDG. F",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383002",
            "telephone_number": "623-882-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "RHONDA",
        "middle_name": "KATHERINE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-14597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Laser Center PC, a Professional Medical Corporation
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• Ashish Labroo, DO
• Natalie J Lake, MD
• Patrick Lam, DO
• Summer Lang, RN, IBCLC
• Katina Lashun Langley, RD
• Ashley Lynn Lanier, RPH
• Lindsey Lanier, PHARMD

• Mental Health Counselor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.