ERIC S LAKE MA,LLP, CADC
NPI 1053644377
Psychologist - Counseling in Grand Rapids, MI

Active since September 18, 2009
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503(616) 840-8000(616) 840-9771 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2024, Mar 9, 2023 (2 updates tracked since 2023).

  • Individual
  • Male
  • Psychologist
  • Counseling

About ERIC LAKE

This page provides the complete NPI Profile along with additional information for Eric Lake, a provider established in Grand Rapids, Michigan with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1053644377 assigned on September 2009. The practitioner's primary taxonomy code is 103TC1900X with license number 6361002966 (MI). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1053644377 Verify this NPI
Provider Name
ERIC S LAKE MA,LLP, CADC
Gender
Male
Entity Type
Individual
Location Address
235 WEALTHY ST SE GRAND RAPIDS, MI 49503
Location Phone
(616) 840-8000
Location Fax
(616) 840-9771
Mailing Address
235 WEALTHY ST SE GRAND RAPIDS, MI 49503
Mailing Phone
(616) 840-8000
Mailing Fax
(616) 840-9771
Is Sole Proprietor?
No
Enumeration Date
09-18-2009
Last Update Date
03-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
6361002966
License State
MI
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

8952 (NE)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

121 (NE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
47082303526MEDICAID (05)NE 

Reviews for ERIC S LAKE MA,LLP, CADC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Rehabilitation Hospital
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Rehabilitation Hospital
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Rehabilitation Hospital
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Internal Medicine
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Medicine & Rehabilitation
235 WEALTHY ST SE, SUITE 100
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Occupational Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapy Assistant
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Rehabilitation Hospital (Children)
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Dietitian, Registered
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053644377, enumerated as an "individual" on September 18, 2009.

The provider is located at 235 WEALTHY ST SE GRAND RAPIDS, MI 49503 and the phone number is (616) 840-8000.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.