Richard D Lake, M.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00005258 Issued in WA

Practice address

10116 116TH St E
Suite 202
Puyallup, WA 98373-3543

Phone

(253) 904-8592

Fax

(253) 904-8592

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699829168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 63RD AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731165",
            "telephone_number": "253-904-8592",
            "fax_number": "253-904-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 116TH ST E",
            "address_2": "SUITE 202",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733543",
            "telephone_number": "253-904-8592",
            "fax_number": "253-904-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annemarie Ladlad
• Elena Laer, L.AC./EAMP, LMP
• Kristina Lafoe, R.D.
• Rhonda Laframboise
• Dakota Noel Lahti, OT
• Lakes Family Medicine, PS
• Destiny Blessing Lakin, LMT
• Aimee Nguyen Lam, M.D.
• Angela Heng Chee Lam, PHARM.D.
• Thomas Lam, M.D.

• Mental Health Counselor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.