1. Home
  2. Directory
  3. New Mexico
  4. Tucumcari
  5. Counselor
  6. NPI Profile

BEVERLY LAKE
NPI 1790099117
Counselor in Tucumcari, NM

Active since July 27, 2010
1110 E HIGH ST, TUCUMCARI, NM 88401(575) 461-4411(575) 461-4102 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Lake NPPES

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

BEVERLY LAKE (NPI 1790099117) is an individual counselor in Tucumcari, New Mexico and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1790099117
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBEVERLY LAKE
Location Address1110 E HIGH STTucumcari, NM 88401-2510
Mailing Address10228 State Highway 104Tucumcari, NM 88401-9315 · (575) 461-3868
Phone(575) 461-4411
Fax(575) 461-4102
Sole ProprietorNo
Enumeration DateJuly 27, 2010
✔ NPI 1790099117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1110 E HIGH ST, Tucumcari, NM 88401
Open in Google Maps ↗

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.

KRYSTAL R TAPIA BMS
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411
ROBERT NOEL POE
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411
ASHLEY ANN NOLAN
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411
JACQUELINE GARCIA
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411
VICKY LAREDO
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (505) 461-4411
IGNACIO ZACHARIAS
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411
KANDACE SUZANNE ZACARIAS
Case Manager/Care Coordinator
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411
KIM L FITE
Counselor
1110 E HIGH ST
TUCUMCARI, NM 88401
Quay County (575) 461-4411

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 Beverly Lake's NPI number?

The NPI number for Beverly Lake is 1790099117. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Beverly Lake located?

Beverly Lake practices at 1110 E High St, Tucumcari, NM 88401. The listed phone number is (575) 461-4411.

What is Beverly Lake's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Beverly Lake was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.