EILEEN LAKE MFT LICENSE # 41076
NPI 1306545686
Marriage & Family Therapist in Woodland Hills, CA

Q: What is Eileen Lake's NPI number?

The NPI number for Eileen Lake is 1306545686. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Q: What is Eileen 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 Eileen Lake was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 27, 2023PECOS EnrolledAccepts Medicare Assignment

4577 WINNETKA AVE, WOODLAND HILLS, CA 91364(818) 307-0554 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Eileen Lake Mft License # 41076 NPPES

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

EILEEN LAKE MFT LICENSE # 41076 (NPI 1306545686) is an individual marriage & family therapist in Woodland Hills, California, licensed in California (41076) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1306545686

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameEILEEN LAKECredential: MFT LICENSE # 41076

Location Address4577 WINNETKA AVEWoodland Hills, CA 91364-4613

Mailing Address4577 Winnetka AveWoodland Hills, CA 91364-4613 · (818) 307-0554

Phone(818) 307-0554

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateFebruary 27, 2023

NPPES CertifiedFebruary 26, 2023

✔ NPI 1306545686 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 CA · 41076

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.

4577 WINNETKA AVE, Woodland Hills, CA 91364

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eileen Lake Mft License # 41076 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769923929

PECOS Enrollment IDI20240916002541

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.

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 Eileen Lake's NPI number?

The NPI number for Eileen Lake is 1306545686. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Eileen Lake located?

Eileen Lake practices at 4577 Winnetka Ave, Woodland Hills, CA 91364. The listed phone number is (818) 307-0554.

What is Eileen Lake's specialty?

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

Is Eileen Lake enrolled in Medicare?

Yes. Eileen Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eileen Lake was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.