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: August 16, 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
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Psychologist (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Professional)
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
Social Worker (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545

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 Elizabeth Lake's NPI number?

The NPI number for Elizabeth Lake is 1801619119. It was assigned to this individual provider in the NPPES registry on November 5, 2024.

Where is Elizabeth Lake located?

Elizabeth Lake practices at 2410 Grape Rd Ste 1, Mishawaka, IN 46545. The listed phone number is (574) 298-7733.

What is Elizabeth Lake's specialty?

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

Is Elizabeth Lake enrolled in Medicare?

Yes. Elizabeth 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.

What insurance does Elizabeth Lake accept?

Health plans from UnitedHealthcare list Elizabeth 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 Elizabeth Lake was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.