Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN ALBERT LAKE
NPI 1942109210
Counselor - Addiction (Substance Use Disorder) in Corvallis, OR

Q: What is Justin Lake's NPI number?

The NPI number for Justin Lake is 1942109210. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Q: What is Justin Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Justin Lake was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since November 03, 2026

885 NW GRANT AVE, CORVALLIS, OR 97330(541) 752-2703 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Justin Albert Lake NPPES

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

JUSTIN ALBERT LAKE (NPI 1942109210) is an individual addiction (substance use disorder) provider in Corvallis, Oregon and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1942109210

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJUSTIN ALBERT LAKE

Location Address885 NW GRANT AVECorvallis, OR 97330-4578

Mailing Address885 Nw Grant AveCorvallis, OR 97330-4578 · (541) 752-2703

Phone(541) 752-2703

Sole ProprietorNo

Enumeration DateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1942109210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

885 NW GRANT AVE, Corvallis, OR 97330

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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.

BEDA ROLL CADC-R

Counselor (Addiction (Substance Use Disorder))

885 NW GRANT AVE
CORVALLIS, OR 97330

Benton County (541) 752-2703

AMANDA ROCHELLE WALLACE

Counselor (Addiction (Substance Use Disorder))

885 NW GRANT AVE
CORVALLIS, OR 97330

Benton County (541) 752-2703

M. ELIZABETH FINCH

Counselor (Addiction (Substance Use Disorder))

885 NW GRANT AVE
CORVALLIS, OR 97330

Benton County (541) 752-2703

DIEGO V NILA CADC-R

Counselor (Addiction (Substance Use Disorder))

885 NW GRANT AVE
CORVALLIS, OR 97330

Benton County (541) 752-2703

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 Justin Lake's NPI number?

The NPI number for Justin Lake is 1942109210. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Where is Justin Lake located?

Justin Lake practices at 885 NW Grant Ave, Corvallis, OR 97330. The listed phone number is (541) 752-2703.

What is Justin Lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Justin Lake was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.