NPIMap

Organization Active NPI

Emmic LLC

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1790434694
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMMIC LLC
Practice address
7900 Oak LN Ste 400
Miami Lakes, FL 33016-6001
Phone
(305) 766-1788
Fax
(305) 397-1010
NPI assigned
Mar 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Authorized official

Name
Dr. Michelle Christina Lake, LMHC AND EDDNPI 1508142928
Title
Owner and Psychotherapist
Phone
(305) 766-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

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

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1790434694",
    "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": "2157 Harwick Cir SW",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329687859",
            "country_code": "US",
            "telephone_number": "305-766-1788",
            "fax_number": "305-397-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMMIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "305-766-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC AND EDD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.