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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.

VILLAGE LAKE LLC
NPI 1326897067
Social Worker - Clinical in Ks, KS

Active since May 15, 2024
345 RIVERVIEW ST. #730, WICHITA, KS, KS 67203(316) 395-2886 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2026, Dec 12, 2024, Aug 12, 2024 and 1 more (4 updates tracked since 2024).

About Village Lake Llc NPPES

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

VILLAGE LAKE LLC (NPI 1326897067), doing business as Village Lake Counseling, is a healthcare organization registered as a clinical in Ks, Kansas and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Derby and lists Anaidy G Claudio Rosa, Therapist, as its authorized official.

NPPES Registry Identity

NPI1326897067
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameVILLAGE LAKE LLC
Location Address345 RIVERVIEW ST. #730, WICHITAKs, KS 67203
Mailing Address3701 E Haven DrDerby, KS 67037-7041 · (316) 284-7730
Phone(316) 395-2886
Organization SubpartNo
Authorized OfficialAnaidy G Claudio RosaTherapist · (316) 284-7730
Enumeration DateMay 15, 2024
Last NPPES UpdateAugust 1, 20264 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
✔ NPI 1326897067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Other Names 1

Doing Business AsVillage Lake Counseling

Secondary Practice Location 1

Location 13701 E Haven DrDerby, KS 67037-7041 · Phone (316) 284-7730

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

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 Village Lake LLC's NPI number?

The NPI number for Village Lake LLC is 1326897067. It was assigned to this organization in the NPPES registry on May 15, 2024. The provider is doing business as Village Lake Counseling.

Where is Village Lake LLC located?

Village Lake LLC is located at 345 Riverview St. #730 Wichita, Ks, KS 67203. The listed phone number is (316) 395-2886.

What is Village Lake LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Village Lake LLC was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.