MS. KENDALL JULIANNA LAKE LMHC, CASAC-ADVANCED
NPI 1942098975
Counselor - Mental Health in Sanborn, NY

Active since April 29, 2025PECOS EnrolledAccepts Medicare Assignment
6302 INDUCON DR E, SANBORN, NY 14132(716) 638-9222(716) 638-9222 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kendall Julianna Lake Lmhc, Casac-advanced NPPES

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

MS. KENDALL JULIANNA LAKE LMHC, CASAC-ADVANCED (NPI 1942098975) is an individual mental health provider in Sanborn, New York, licensed in New York (015946) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942098975
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KENDALL JULIANNA LAKECredential: LMHC, CASAC-ADVANCED
Location Address6302 INDUCON DR ESanborn, NY 14132-9015
Mailing Address6302 Inducon Dr ESanborn, NY 14132-9015 · (716) 638-9222 · Fax (716) 638-9222
Fax(716) 638-9222
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 29, 2025
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
NPI 1942098975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 015946
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 39580 (NY)
6302 INDUCON DR E, Sanborn, NY 14132

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

Ms. Kendall Julianna Lake Lmhc, Casac-advanced 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 ID9931689841
PECOS Enrollment IDI20260218001799
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
6302 INDUCON DR E
SANBORN, NY 14132
Social Worker
6302 INDUCON DR E
SANBORN, NY 14132
Licensed Practical Nurse
6302 INDUCON DR E
SANBORN, NY 14132
Counselor
6302 INDUCON DR E
SANBORN, NY 14132

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 Kendall Lake's NPI number?

The NPI number for Kendall Lake is 1942098975. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Kendall Lake located?

Kendall Lake practices at 6302 Inducon Dr E, Sanborn, NY 14132. The listed phone number is (716) 638-9222.

What is Kendall Lake's specialty?

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

Is Kendall Lake enrolled in Medicare?

Yes. Kendall 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.

When was this NPI record last updated?

The NPPES record for Kendall Lake was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.