Organization Active NPI

Lake Horizons, LLC

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1700790896
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAKE HORIZONS, LLC
Practice address
712 Lee Ave
Fredericksburg, VA 22401-5728
Phone
(703) 226-9034
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Judith Berman Carlisle, LPC
Title
Owner/Partner
Phone
(703) 226-9034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

712 Lee Ave
Fredericksburg, VA 22401-5728

Mailing address

712 Lee Ave
Fredericksburg, VA 22401-5728
Phone (703) 226-9034

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1700790896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LEE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015728",
            "telephone_number": "703-226-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LEE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015728",
            "telephone_number": "703-226-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HORIZONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "BERMAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "703-226-9034",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.