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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA AMBER LAKE
NPI 1124504089
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since July 13, 2018
800 A ST, SAN RAFAEL, CA 94901(415) 847-8733 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Jul 13, 2018 (2 updates tracked since 2018).

About Alyssa Amber Lake NPPES

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

ALYSSA AMBER LAKE (NPI 1124504089) is an individual addiction (substance use disorder) provider in San Rafael, California, licensed in California (RT1453390826) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1124504089
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALYSSA AMBER LAKE
Location Address800 A STSan Rafael, CA 94901-3011
Mailing Address800 A StSan Rafael, CA 94901-3011 · (415) 847-8733
Phone(415) 847-8733
Sole ProprietorNo
Enumeration DateJuly 13, 2018
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1124504089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · RT1453390826
Also ListedBehavior TechnicianTaxonomy 106S00000X
800 A ST, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 14

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

SHANNALEAH SHAHEDI MASTERS
Physician Assistant
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
OLIVIA HORAN AGPCNP-C
Nurse Practitioner
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
KELLY MCKOIN PA-C
Physician Assistant
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
AGUSTINA DEL CARRIL
Social Worker (Clinical)
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
RITTER CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
MR. MICHAEL A BEYER LCSW
Social Worker (Clinical)
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
PATRICK LIANG PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
LUCAS MICHAEL GARRISON LCSW
Social Worker (Clinical)
800 A ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182

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 Alyssa Lake's NPI number?

The NPI number for Alyssa Lake is 1124504089. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Alyssa Lake located?

Alyssa Lake practices at 800 A St, San Rafael, CA 94901. The listed phone number is (415) 847-8733.

What is Alyssa Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Alyssa Lake was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.