MRS. TORI LAKE LPCC
NPI 1053828228
Counselor - Mental Health in Youngstown, OH

Active since January 09, 2018PECOS Enrolled
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509(330) 318-3436 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2026, Nov 1, 2019, Jan 9, 2018 (3 updates tracked since 2018).

About Mrs. Tori Lake Lpcc NPPES

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

MRS. TORI LAKE LPCC (NPI 1053828228) is an individual mental health provider in Youngstown, Ohio, licensed in Ohio (C.1700537) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053828228
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TORI LAKECredential: LPCC
Location Address238 S MERIDIAN RDYoungstown, OH 44509-2925
Mailing Address3617 Elm Rd Ne # 135Warren, OH 44483-2656 · (330) 647-1855
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 9, 2018
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1053828228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.1700537
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.2606060 (OH)
238 S MERIDIAN RD, Youngstown, OH 44509

Other Names 1

Former Name (1)Ms. Tori Williams Lpcc

Secondary Practice Location 1

Location 1103 W Market StWarren, OH 44481-1017 · Phone (330) 394-8831

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tori Lake Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183183221
PECOS Enrollment IDI20260828000834
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tori Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
9239 BRIARBROOK DR NE
Warren, OH 44484
  • Reassigned Medicare billing, Ohio enrollment

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

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.

Behavior Technician
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Behavior Technician
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Behavior Technician
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Community/Behavioral Health
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Social Worker (Clinical)
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Community/Behavioral Health
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Community/Behavioral Health
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509
Community/Behavioral Health
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509

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 Tori Lake's NPI number?

The NPI number for Tori Lake is 1053828228. It was assigned to this individual provider in the NPPES registry on January 9, 2018. The provider is also known as Ms. Tori Williams Lpcc.

Where is Tori Lake located?

Tori Lake practices at 238 S Meridian Rd, Youngstown, OH 44509. The listed phone number is (330) 318-3436.

What is Tori Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tori Lake enrolled in Medicare?

Yes. Tori Lake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tori Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tori Lake reassigns Medicare benefits to Lake Resilience Counseling, LLC (Warren, OH). The 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 Tori Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tori Lake accept?

Health plans from UnitedHealthcare list Tori Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tori Lake was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.