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: August 09, 2026.

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

About Eric S Lake Ma,llp, Cadc NPPES

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

ERIC S LAKE MA,LLP, CADC (NPI 1053644377) is an individual counseling provider in Grand Rapids, Michigan, licensed in Michigan (6361002966) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1053644377
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameERIC S LAKECredential: MA,LLP, CADC
Location Address235 WEALTHY ST SEGrand Rapids, MI 49503-5247
Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 840-8000 · Fax (616) 840-9771
Fax(616) 840-9771
Sole ProprietorNo
Enumeration DateSeptember 18, 2009
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1053644377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MI · 6361002966
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8952 (NE), 121 (NE)
235 WEALTHY ST SE, Grand Rapids, MI 49503

Other Identifiers 1

Medicaid47082303526NE

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
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
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Dietitian, Registered
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Behavior Analyst
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Internal Medicine
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503

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 Eric Lake's NPI number?

The NPI number for Eric Lake is 1053644377. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Eric Lake located?

Eric Lake practices at 235 Wealthy St SE, Grand Rapids, MI 49503. The listed phone number is (616) 840-8000.

What is Eric Lake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Eric Lake was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.