LAKE PSYCHOLOGICAL SERVICES, LLC
NPI 1225061971
Psychologist - Clinical in Columbia, SC

Active since July 08, 2006
115 ATRIUM WAY, SUITE #221, COLUMBIA, SC 29223(803) 699-8887(803) 699-8824 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Psychological Services, Llc NPPES

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

LAKE PSYCHOLOGICAL SERVICES, LLC (NPI 1225061971) is a healthcare organization registered as a clinical in Columbia, South Carolina and active in the NPI registry since July 2006. The organization lists Karen Downs Lake, Owner, as its authorized official.

NPPES Registry Identity

NPI1225061971
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAKE PSYCHOLOGICAL SERVICES, LLC
Location Address115 ATRIUM WAY, SUITE #221Columbia, SC 29223-6383
Mailing Address115 Atrium Way, Suite #221Columbia, SC 29223-6383 · (803) 699-8887 · Fax (803) 699-8824
Fax(803) 699-8824
Organization SubpartNo
Authorized OfficialKaren Downs LakeOwner · (803) 699-8887
Enumeration DateJuly 8, 2006
Last NPPES UpdateJanuary 17, 2014
NPI 1225061971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in SC · 690
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
115 ATRIUM WAY, Columbia, SC 29223

Other Identifiers 2

Medicare ID-Type Unspecified8429SC
MedicaidPS0264SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

Internal Medicine
115 ATRIUM WAY
COLUMBIA, SC 29223
Physical Therapist
115 ATRIUM WAY, STE 232
COLUMBIA, SC 29223
Ophthalmology
115 ATRIUM WAY, SUITE 120
COLUMBIA, SC 29223
Physical Therapist
115 ATRIUM WAY, SUITE 232
COLUMBIA, SC 29223
Counselor
115 ATRIUM WAY
COLUMBIA, SC 29223
Pediatrics
115 ATRIUM WAY, SUITE 120
COLUMBIA, SC 29223
Physical Medicine & Rehabilitation
115 ATRIUM WAY, STE 232 CAROLINA PHYSICAL THERAPY AND SPORTS MEDICINE,
COLUMBIA, SC 29223
Psychologist (Clinical)
115 ATRIUM WAY, SUITE 221
COLUMBIA, SC 29223

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 Lake Psychological Services, LLC's NPI number?

The NPI number for Lake Psychological Services, LLC is 1225061971. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Lake Psychological Services, LLC located?

Lake Psychological Services, LLC is located at 115 Atrium Way Suite #221, Columbia, SC 29223. The listed phone number is (803) 699-8887.

What is Lake Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lake Psychological Services, LLC was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.