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KAITLYN TAYLOR LAKE MS
NPI 1629941000
Counselor - Mental Health in Minneapolis, MN

Active since September 24, 2025
1200 MARQUETTE AVE, MINNEAPOLIS, MN 55403(612) 503-1954 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyn Taylor Lake Ms NPPES

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

KAITLYN TAYLOR LAKE MS (NPI 1629941000) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1629941000
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN TAYLOR LAKECredential: MS
Location Address1200 MARQUETTE AVEMinneapolis, MN 55403-2419
Mailing Address1200 Marquette AveMinneapolis, MN 55403-2419
Phone(612) 503-1954
Sole ProprietorNo
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1629941000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1200 MARQUETTE AVE, Minneapolis, MN 55403
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Other Providers at the Same Location NPPES 13

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

MAGGIE MAE STOLTZMAN LCSW
Social Worker (Clinical)
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (952) 548-8634
BEMNET ZEWDE HABTAMU
Occupational Therapist
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 503-1990
MARY MARGARET DRIES MSW, LGSW
Social Worker
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (952) 693-3547
ELIZABETH NEITZEL OTR/L
Occupational Therapist
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (952) 939-0396
MS. LAURIE LYNNE NELSON LICSW
Social Worker (Clinical)
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (952) 939-0396
MR. STEPHEN JOHN PALMER
Marriage & Family Therapist
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 432-2163
JULIE C RECORDS LICSW
Social Worker (Clinical)
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 790-9029
LAUREL GUNTZEL M.A.
Counselor (Mental Health)
1200 MARQUETTE AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 332-7743

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 Kaitlyn Lake's NPI number?

The NPI number for Kaitlyn Lake is 1629941000. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Kaitlyn Lake located?

Kaitlyn Lake practices at 1200 Marquette Ave, Minneapolis, MN 55403. The listed phone number is (612) 503-1954.

What is Kaitlyn Lake's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Lake was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.