RICKY B LAKE JR. LPC
NPI 1891893699
Counselor - Professional in Indiana, PA

Active since September 20, 2006
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701(724) 465-5576(724) 465-5532 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ricky B Lake Jr. Lpc NPPES

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

RICKY B LAKE JR. LPC (NPI 1891893699) is an individual professional provider in Indiana, Pennsylvania, licensed in Pennsylvania (PC004272) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1891893699
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRICKY B LAKE JR.Credential: LPC
Location Address793 OLD ROUTE 119 HWY NIndiana, PA 15701-1372
Mailing Address253 Old Plank RdButler, PA 16002-3809
Fax(724) 465-5532
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 30, 2010
NPI 1891893699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC004272
793 OLD ROUTE 119 HWY N, Indiana, PA 15701

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)
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Psychiatry & Neurology (Neurology)
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Counselor
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Psychologist
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Counselor
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Nurse Practitioner (Psychiatric/Mental Health)
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Counselor (Professional)
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701
Counselor
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701

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 Ricky Lake's NPI number?

The NPI number for Ricky Lake is 1891893699. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ricky Lake located?

Ricky Lake practices at 793 Old Route 119 Hwy N, Indiana, PA 15701. The listed phone number is (724) 465-5576.

What is Ricky Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ricky Lake was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.