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MR. MICHAEL H LAKE JR. LMHC
NPI 1265596035
Counselor - Mental Health in Melbourne, FL

Active since December 19, 2006
4450 EAU GALLIE BLVD, SUITE 200, MELBOURNE, FL 32934(321) 726-2860(321) 752-3143 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2018, Sep 19, 2018 (2 updates tracked since 2018).

About Mr. Michael H Lake Jr. Lmhc NPPES

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

MR. MICHAEL H LAKE JR. LMHC (NPI 1265596035) is an individual mental health provider in Melbourne, Florida, licensed in Florida (MH8204) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1265596035
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL H LAKE JR.Credential: LMHC
Location Address4450 EAU GALLIE BLVD, SUITE 200Melbourne, FL 32934-7214
Mailing Address400 East Sheridan RdMelbourne, FL 32901-3122 · (321) 722-5200 · Fax (321) 953-7510
Phone(321) 726-2860
Fax(321) 752-3143
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateSeptember 25, 20182 updates tracked since enumeration
✔ NPI 1265596035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH8204
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License MH8204 (FL)
4450 EAU GALLIE BLVD, Melbourne, FL 32934
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Other Identifiers 2

Medicaid016517700FL
Medicaid000761700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

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 Michael Lake's NPI number?

The NPI number for Michael Lake is 1265596035. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Michael Lake located?

Michael Lake practices at 4450 Eau Gallie Blvd Suite 200, Melbourne, FL 32934. The listed phone number is (321) 726-2860.

What is Michael Lake's specialty?

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

What insurance does Michael Lake accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Michael 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 Michael Lake was last updated on September 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.