DR. JAMES ANDREW LAKE LCMFT, SCC-C, DMINN
NPI 1356217913
Counselor - Pastoral in Fort Myers, FL

Active since October 13, 2025
4461 BUCKINGHAM RD, FORT MYERS, FL 33905(330) 333-1909 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Andrew Lake Lcmft, Scc-c, Dminn NPPES

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

DR. JAMES ANDREW LAKE LCMFT, SCC-C, DMINN (NPI 1356217913) is an individual pastoral provider in Fort Myers, Florida, licensed in Florida (LCMFT0559020423) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1356217913
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameDR. JAMES ANDREW LAKECredential: LCMFT, SCC-C, DMINN
Location Address4461 BUCKINGHAM RDFort Myers, FL 33905-7221
Mailing Address4461 Buckingham RdFort Myers, FL 33905-7221 · (330) 333-1909
Sole ProprietorYes
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 10, 2025
NPI 1356217913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License Licensed in FL · LCMFT0559020423
4461 BUCKINGHAM RD, Fort Myers, FL 33905

Other Names 1

Professional Name (2)Dr. J Andy Lake Lcmft, Scc-c, Dminn

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

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

Counselor (Pastoral)
4461 BUCKINGHAM RD
FORT MYERS, FL 33905

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 James Lake's NPI number?

The NPI number for James Lake is 1356217913. It was assigned to this individual provider in the NPPES registry on October 13, 2025. The provider is also known as Dr. J Andy Lake Lcmft, Scc-C, Dminn.

Where is James Lake located?

James Lake practices at 4461 Buckingham Rd, Fort Myers, FL 33905. The listed phone number is (330) 333-1909.

What is James Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for James Lake was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.