Casey Scott Lake, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11221 Issued in SC

Practice address

Casey@Goodvibestherapycenter.Com
141 McDonald Court Myrtle Beach SC 29588
Myrtle Beach, SC 29588

Phone

(843) 294-0646

Fax

(843) 294-0318

NPI assigned

Mar 19, 2024

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Care of South Carolina LLC

  • Clinical Psychologist
  • Mount Pleasant, SC
  • NPI 1417681412
  Medicare reassignment NPD
• Good Vibes Therapy Center, LLC

  • Professional Counselor
  • Myrtle Beach, SC
  • NPI 1720636905
  NPD

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1588424683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CASEY@GOODVIBESTHERAPYCENTER.COM",
            "address_2": "141 MCDONALD COURT MYRTLE BEACH SC 29588",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-294-0646",
            "fax_number": "843-294-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASEY@GOODVIBESTHERAPYCENTER.COM",
            "address_2": "141 MCDONALD COURT MYRTLE BEACH SC 29588",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-294-0646",
            "fax_number": "843-294-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "CASEY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lacaria-Hutchinson
• Linda Cooper Lack, PHD
• Colleen Laform O'Shea, RBT
• Aleah Lafrancis-Ream
• Conner Lajoie, DO
• Erol Lale, MD
• Sharon H Lallement
• Linda S Lam, R PH
• Daniel Austin Lambert
• Renee Ruth Lamm, M.D.

• Professional Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.