EMILY ELIZABETH LAKE LMFT
NPI 1083070676
Marriage & Family Therapist in Miami Lakes, FL

Q: What is Emily Lake's NPI number?

The NPI number for Emily Lake is 1083070676. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Q: What is Emily Lake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Lake was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 12, 2016PECOS Enrolled

15291 NW 60TH AVE- COCONUT GROVE RECOVERY, STE 201, MIAMI LAKES, FL 33014(540) 323-3579 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2016, Jan 12, 2016 (2 updates tracked since 2016).

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About Emily Elizabeth Lake Lmft NPPES

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

EMILY ELIZABETH LAKE LMFT (NPI 1083070676) is an individual marriage & family therapist in Miami Lakes, Florida, licensed in Florida (MT 2904) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2019).

NPPES Registry Identity

NPI1083070676

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameEMILY ELIZABETH LAKECredential: LMFT

Location Address15291 NW 60TH AVE- COCONUT GROVE RECOVERY, STE 201Miami Lakes, FL 33014-2460

Mailing Address6700 Nw 47th PlLauderhill, FL 33319-3402 · (540) 323-3579

Phone(540) 323-3579

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2019

Enumeration DateJanuary 12, 2016

Last NPPES UpdateJanuary 22, 20162 updates tracked since enumeration

✔ NPI 1083070676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in FL · MT 2904

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

15291 NW 60TH AVE- COCONUT GROVE RECOVERY, Miami Lakes, FL 33014

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Elizabeth Lake Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143786566

PECOS Enrollment IDI20260727002448

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 Emily Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Resources Plc

923 mi

Psychologist

134 W PICCADILLY STREET
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
4 clinicians in this Medicare group

NPI 1841201977 (540) 667-1389

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 Emily Lake's NPI number?

The NPI number for Emily Lake is 1083070676. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Emily Lake located?

Emily Lake practices at 15291 NW 60th Ave- Coconut Grove Recovery Ste 201, Miami Lakes, FL 33014. The listed phone number is (540) 323-3579.

What is Emily Lake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Emily Lake enrolled in Medicare?

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

Which organization bills Medicare for Emily Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Lake reassigns Medicare benefits to Behavioral Resources Plc (Winchester, VA). 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 Emily Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Lake was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.