Individual provider Active NPI

Michelle Christina Lake, LMHC, EDD

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1508142928
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 10806 Issued in FL
Practice address
7900 Oak LN Ste 400
Miami Lakes, FL 33016-6001
Phone
(305) 766-1788
Fax
(305) 397-1010
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 10806 FL Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

7900 Oak LN Ste 400
Miami Lakes, FL 33016-6001

Mailing address

2157 Harwick Cir SW
Vero Beach, FL 32968-7859
Phone (305) 766-1788

Other practice location 1

800 SW 108th Ave
Suite 100
Miami, FL 33174-2555
Phone (305) 348-3627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m_lake0084@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251030005318 FL Practitioner - Mental Health Counselor 6305125733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 10806FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
H.E.a.L. Psychotherapy Services LLC Mental Health Current Accepting new patients
Emmic LLC Mental Health CurrentSince Mar 27, 2022 Accepting new patients
Brightside Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Insight Therapy Solutions LLC Mental Health PastSince Feb 26, 2024 Accepting new patients
Insight Medical Clinicians PA Mental Health PastSince Feb 26, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1508142928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 HARWICK CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329687859",
            "telephone_number": "305-766-1788",
            "fax_number": "305-397-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 OAK LN STE 400",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166001",
            "telephone_number": "305-766-1788",
            "fax_number": "305-397-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 SW 108th Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331742555",
            "country_code": "US",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "LMHC, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10806",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m_lake0084@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "7900 Oak Ln Ste 400",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330166001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.