Individual provider Active NPI

Kendall Julianna Lake, LMHC, CASAC-ADVANCED

  • Mental Health Counselor
  • Sanborn, NY
National Provider Identifier
1942098975
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015946 Issued in NY
Practice address
6302 Inducon Dr E
Sanborn, NY 14132-9015
Phone
(716) 638-9222
Fax
(716) 638-9222
NPI assigned
Apr 29, 2025
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 39580 NY
Mental Health Counselor 101YM0800X 015946 NY Primary

Addresses

Primary practice location

6302 Inducon Dr E
Sanborn, NY 14132-9015

Mailing address

6302 Inducon Dr E
Sanborn, NY 14132-9015
Phone (716) 638-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260218001799 NY Practitioner - Mental Health Counselor 9931689841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Services IncGroup PAC ID 5698689925, 144 clinicians

Practice addresses (Care Compare)

2400 Pine Ave
Niagara Falls, NY 14301-2402
Phone (716) 505-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39580NYMDAddiction (Substance Use Disorder) Counselor
015946NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc CurrentSince Jan 11, 2026 Accepting new patients

Locations

3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200

55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100

2400 Pine Ave
Niagara Falls, NY 14301
Phone (716) 282-1114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1942098975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329015",
            "telephone_number": "716-638-9222",
            "fax_number": "716-638-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329015",
            "telephone_number": "716-638-9222",
            "fax_number": "716-638-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "KENDALL",
        "middle_name": "JULIANNA",
        "name_prefix": "Ms.",
        "credential": "LMHC, CASAC-ADVANCED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "39580",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, NY

Sources for this page

Verify at the official NPI Registry.