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MRS. ROCHELLE JEANESS LAKE MA, QMHP
NPI 1093854978
Counselor in Portland, OR

Active since February 06, 2007
1312 SW WASHINGTON ST, PORTLAND, OR 97208(503) 535-1150(503) 535-1191 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Rochelle Jeaness Lake Ma, Qmhp NPPES

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

MRS. ROCHELLE JEANESS LAKE MA, QMHP (NPI 1093854978) is an individual counselor in Portland, Oregon and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1093854978
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. ROCHELLE JEANESS LAKECredential: MA, QMHP
Location Address1312 SW WASHINGTON STPortland, OR 97208-3007
Mailing Address18524 Nw Redwing Way, #201Beaverton, OR 97006 · (503) 535-1150 · Fax (503) 535-1191
Phone(503) 535-1150
Fax(503) 535-1191
Sole ProprietorYes
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093854978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1312 SW WASHINGTON ST, Portland, OR 97208
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Other Providers at the Same Location NPPES

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

JASON CHARLES ZONTANOS MA, LPC
Counselor (Mental Health)
1312 SW WASHINGTON ST
PORTLAND, OR 97208
Multnomah County (503) 535-1150

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 Rochelle Lake's NPI number?

The NPI number for Rochelle Lake is 1093854978. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Rochelle Lake located?

Rochelle Lake practices at 1312 SW Washington St, Portland, OR 97208. The listed phone number is (503) 535-1150.

What is Rochelle Lake's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Rochelle Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.