JENNIFER GORNTO LAKE MS, CCC-SLP
NPI 1396524286
Speech-Language Pathologist in San Antonio, TX

Q: What is Jennifer Lake's NPI number?

The NPI number for Jennifer Lake is 1396524286. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Q: What is Jennifer Lake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lake was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 28, 2023Accepts Medicare Assignment

16400 BLANCO RD, SAN ANTONIO, TX 78232(210) 540-8288 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Gornto Lake Ms, Ccc-slp NPPES

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

JENNIFER GORNTO LAKE MS, CCC-SLP (NPI 1396524286) is an individual speech-language pathologist provider in San Antonio, Texas, licensed in Texas (109643) and active in the NPI registry since September 2023. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1396524286

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJENNIFER GORNTO LAKECredential: MS, CCC-SLP

Location Address16400 BLANCO RDSan Antonio, TX 78232-1902

Mailing Address16400 Blanco RdSan Antonio, TX 78232-1902 · (210) 540-8288

Phone(210) 540-8288

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1396524286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in TX · 109643

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

16400 BLANCO RD, San Antonio, TX 78232

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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

Jennifer Gornto Lake Ms, Ccc-slp 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 ID9537670997

PECOS Enrollment IDI20250613001753

Other Providers at the Same Location NPPES 20

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

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