Lake Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

127241 Issued in PA

Legal business name

LAKE THERAPY LLC

Practice address

100 Highlands Dr
Suite 301C
Lititz, PA 17543-7693

Phone

(717) 575-3757

Fax

(717) 620-3285

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Alexis Lake, LSWNPI 1316273055

Title

Owner/Therapist

Phone

(717) 575-3757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alexis Lake, MSS, LSW

  • Clinical Social Worker
  • Lancaster, PA
  • NPI 1316273055
  NPD (past) Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1497105233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS DR",
            "address_2": "SUITE 301C",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437693",
            "telephone_number": "717-575-3757",
            "fax_number": "717-620-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS DR",
            "address_2": "SUITE 301C",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437693",
            "telephone_number": "717-575-3757",
            "fax_number": "717-620-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "717-575-3757",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "127241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KS PC
• Amy Kulkarni
• Jerry Kuriakose, PHARMD
• Aubree Nicole Kurtz, L.M.T.
• Margot T. Kusienski, DMD., M.S.ED., MMSC
• Allison Lakehart-Childs, MSW LSW
• Everest O Lam, DDS
• Lanaster General Hospital
• Lanaster General Hospital
• Lancaster Dental Arts, P.C.

• Community/Behavioral Health Agency in Lititz, PA
• Providers in Lititz, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.