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MR. DAKOTA MICHEAL LAKE LCSW
NPI 1407628845
Counselor - Mental Health in Portland, OR

Active since October 30, 2023
5441 S MACADAM AVE, PORTLAND, OR 97239(971) 415-5755(971) 415-5855 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Oct 30, 2023 (2 updates tracked since 2023).

About Mr. Dakota Micheal Lake Lcsw NPPES

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

MR. DAKOTA MICHEAL LAKE LCSW (NPI 1407628845) is an individual mental health provider in Portland, Oregon, licensed in Oregon (L11777) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1407628845
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DAKOTA MICHEAL LAKECredential: LCSW
Location Address5441 S MACADAM AVEPortland, OR 97239-6106
Mailing Address4750 N Albina Ave Apt 406Portland, OR 97217-2671 · (616) 821-6584
Phone(971) 415-5755
Fax(971) 415-5855
Sole ProprietorYes
Enumeration DateOctober 30, 2023
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1407628845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · L11777
5441 S MACADAM AVE, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 14

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

RHYTHM INTEGRATIVE PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (541) 313-5805
CYNDI AYANNA MENDEZ-LOREDO
Social Worker (Clinical)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (971) 415-8989
EMILY ANNE ARDENT LPC
Counselor (Mental Health)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (503) 446-4279
MRS. ALYCEN DAVIS LCSW
Social Worker (Clinical)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (503) 278-7279
FOLASADE ETHEL OGUNSANYA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (832) 704-4536
JENNA JILL DALTON
Counselor (Mental Health)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (971) 386-3407
DR. PRESTON JOSEPH FEDOR MD
Emergency Medicine (Emergency Medical Services)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (971) 245-4044
SARA NARAYAN LPC
Counselor (Professional)
5441 S MACADAM AVE
PORTLAND, OR 97239
Multnomah County (921) 258-1676

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 Dakota Lake's NPI number?

The NPI number for Dakota Lake is 1407628845. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Dakota Lake located?

Dakota Lake practices at 5441 S Macadam Ave, Portland, OR 97239. The listed phone number is (971) 415-5755.

What is Dakota Lake's specialty?

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

What insurance does Dakota Lake accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Dakota 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 Dakota Lake was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.