ELIZABETH ANN LAKE LMHC
NPI 1801619119
Counselor - Mental Health in Mishawaka, IN

Active since November 05, 2024PECOS EnrolledAccepts Medicare Assignment
2410 GRAPE RD STE 1, MISHAWAKA, IN 46545(574) 298-7733 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2026, Dec 11, 2024, Nov 5, 2024 (3 updates tracked since 2024).

About Elizabeth Ann Lake Lmhc NPPES

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

ELIZABETH ANN LAKE LMHC (NPI 1801619119) is an individual mental health provider in Mishawaka, Indiana, licensed in Indiana (39005191A) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1801619119
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH ANN LAKECredential: LMHC
Location Address2410 GRAPE RD STE 1Mishawaka, IN 46545-3015
Mailing Address2410 Grape Rd Ste 1Mishawaka, IN 46545-3015 · (574) 298-7733
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 5, 2024
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1801619119 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 IN · 39005191A
2410 GRAPE RD STE 1, Mishawaka, IN 46545

Accepted Insurance

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

Elizabeth Ann Lake Lmhc 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 ID1456881259
PECOS Enrollment IDI20250210000545
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.

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.

Psychologist (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Social Worker (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Social Worker (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801619119, enumerated as an "individual" on November 05, 2024.

The provider is located at 2410 GRAPE RD STE 1 MISHAWAKA, IN 46545 and the phone number is (574) 298-7733.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.