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MR. CASEY SCOTT LAKE LPCA
NPI 1588424683
Counselor - Professional in Myrtle Beach, SC

Active since March 19, 2024PECOS EnrolledAccepts Medicare Assignment
[email protected], 141 MCDONALD COURT MYRTLE BEACH SC 29588, MYRTLE BEACH, SC 29588(843) 294-0646(843) 294-0318 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Casey Scott Lake Lpca NPPES

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

MR. CASEY SCOTT LAKE LPCA (NPI 1588424683) is an individual professional provider in Myrtle Beach, South Carolina, licensed in South Carolina (11221) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588424683
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CASEY SCOTT LAKECredential: LPCA
Location Address[email protected], 141 MCDONALD COURT MYRTLE BEACH SC 29588Myrtle Beach, SC 29588
Mailing Address[email protected], 141 Mcdonald Court Myrtle Beach Sc 29588Myrtle Beach, SC 29588 · (843) 294-0646 · Fax (843) 294-0318
Phone(843) 294-0646
Fax(843) 294-0318
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 19, 2024
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1588424683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 11221
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
[email protected], Myrtle Beach, SC 29588
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Casey Scott Lake Lpca 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 ID7113423104
PECOS Enrollment IDI20250930000398
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.

Medicare Billing Reassignment

Medicare enrollment records show Casey Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Supportive Care Of South Carolina LLC
77 mi
Clinical
734 YORK ST
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 65 clinicians in this Medicare group
NPI 1417681412 (718) 298-4375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Casey Lake's NPI number?

The NPI number for Casey Lake is 1588424683. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Casey Lake located?

Casey Lake practices at [email protected] 141 Mcdonald Court Myrtle Beach Sc 29588, Myrtle Beach, SC 29588. The listed phone number is (843) 294-0646.

What is Casey Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Casey Lake enrolled in Medicare?

Yes. Casey 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.

Which organization bills Medicare for Casey Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Lake reassigns Medicare benefits to Supportive Care Of South Carolina LLC (Mt Pleasant, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Lake accept?

Health plans from BlueCross BlueShield of South Carolina, Oscar Health Plan, Inc. and UnitedHealthcare list Casey 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 Casey Lake was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.