Anita Lakes, LPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

270058 Issued in KY

Practice address

1353 W Main St Ste 100
Lexington, KY 40508-2065

Phone

(859) 245-2400

Fax

(859) 245-2443

NPI assigned

Feb 5, 2010

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• New Beginnings, Bluegrass, Inc.

  • Case Manager/Care Coordinator
  • Lexington, KY
  • NPI 1508523903

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1720310485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111275",
            "telephone_number": "859-253-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 W MAIN ST STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082065",
            "telephone_number": "859-245-2400",
            "fax_number": "859-245-2443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Dawson Creek Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405112364",
            "country_code": "US",
            "telephone_number": "859-213-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKES",
        "first_name": "ANITA",
        "credential": "LPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "270058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Yoder Lain, MD
• Melanie Elizabeth Laine, PHARM.D.
• Kara Ashley Lairson
• Lake Cumberland Rheumatology PLLC
• James Lake
• Diana L Lakes, RN CDCES
• Heather Leeann Lakes
• Matthew Lally, M.D.
• Michael Edward Lally, MD
• Nicole Lally, LCSW TCADC

• Clinical Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.