LAKE ASPEN INTEGRATIVE SERVICES
NPI 1033926282
Psychiatry & Neurology - Psychiatry in Yakima, WA

Active since December 11, 2024
1460 N 16TH AVE STE G, YAKIMA, WA 98902(509) 594-1867(509) 575-7796 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Aspen Integrative Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE ASPEN INTEGRATIVE SERVICES (NPI 1033926282) is a healthcare organization registered as a psychiatry in Yakima, Washington and active in the NPI registry since December 2024. The organization lists Melissa Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1033926282
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLAKE ASPEN INTEGRATIVE SERVICES
Location Address1460 N 16TH AVE STE GYakima, WA 98902-7102
Mailing Address1460 N 16th Ave Ste GYakima, WA 98902-7102 · (509) 594-1867 · Fax (509) 575-7796
Fax(509) 575-7796
Organization SubpartNo
Authorized OfficialMelissa SimmonsOwner · (509) 594-1867
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1033926282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1460 N 16TH AVE STE G, Yakima, WA 98902

Other Names 1

Former Legal Business NameLake Aspen Integrative Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Aspen Integrative Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Aspen Integrative Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1396031266
401 BUSTER RD
Toppenish, WA 98948
(509) 865-6203
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Aspen Integrative Services's NPI number?

The NPI number for Lake Aspen Integrative Services is 1033926282. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Lake Aspen Integrative Services located?

Lake Aspen Integrative Services is located at 1460 N 16th Ave Ste G, Yakima, WA 98902. The listed phone number is (509) 594-1867.

What is Lake Aspen Integrative Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lake Aspen Integrative Services enrolled in Medicare?

Yes. Lake Aspen Integrative Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Aspen Integrative Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lake Aspen Integrative Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Aspen Integrative Services was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.