AMANDA KAY LAKE
NPI 1992998900
Marriage & Family Therapist in Janesville, WI

Q: What is Amanda Lake's NPI number?

The NPI number for Amanda Lake is 1992998900. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Q: What is Amanda Lake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Lake was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 22, 2007

113 S FRANKLIN ST, JANESVILLE, WI 53548(608) 743-2417(608) 743-2406 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Amanda Kay Lake NPPES

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

AMANDA KAY LAKE (NPI 1992998900) is an individual marriage & family therapist in Janesville, Wisconsin, licensed in Wisconsin (903) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1992998900

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA KAY LAKE

Location Address113 S FRANKLIN STJanesville, WI 53548-3812

Mailing Address113 S Franklin StJanesville, WI 53548-3812 · (608) 743-2417 · Fax (608) 743-2406

Phone(608) 743-2417

Fax(608) 743-2406

Sole ProprietorYes

Enumeration DateAugust 22, 2007

Last NPPES UpdateDecember 18, 2014

✔ NPI 1992998900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in WI · 903✔ Licensed in IA · 000347✔ Licensed in IL · 166000869

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10097 (IA), 15750 (WI)

113 S FRANKLIN ST, Janesville, WI 53548

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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.

JAYME ST. JOHN

Counselor