JOHN M LAKE MSW, LISW
NPI 1861561367
Counselor - Mental Health in Colville, WA

Active since November 07, 2006
165 E HAWTHORNE AVE, COLVILLE, WA 99114(509) 684-6172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John M Lake Msw, Lisw NPPES

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

JOHN M LAKE MSW, LISW (NPI 1861561367) is an individual mental health provider in Colville, Washington, licensed in Washington (LH0005634) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1861561367
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN M LAKECredential: MSW, LISW
Location Address165 E HAWTHORNE AVEColville, WA 99114-2629
Mailing Address746 N Oak StColville, WA 99114-3148 · (509) 684-6172
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861561367 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 WA · LH0005634
165 E HAWTHORNE AVE, Colville, WA 99114

Other Identifiers 1

Medicare ID-Type Unspecified8855536WA

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.

Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Addiction (Substance Use Disorder))
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Addiction (Substance Use Disorder))
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Addiction (Substance Use Disorder))
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114

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 John Lake's NPI number?

The NPI number for John Lake is 1861561367. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is John Lake located?

John Lake practices at 165 E Hawthorne Ave, Colville, WA 99114. The listed phone number is (509) 684-6172.

What is John 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 John Lake was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.