JOHN M LAKE (NPI# 1861561367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861561367 |
| Entity Type | Individual |
| Full Name | JOHN M LAKE |
| Credential | MSW, LISW |
| Practice Address |
165 E Hawthorne Ave Colville WA 99114-2629 |
| Mailing Address |
746 N Oak St Colville WA 99114-3148 |
| Practice Telephone | 5096846172 |
| Mailing Telephone | 5096846172 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH0005634 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629270194 | John T Lake | Psychiatry & Neurology | 60 Doctors Park Lowr Level, Cape Girardeau, MO 63703 | 2007-06-05 |
| 1619081031 | John F Lake | Dentist | 286 Sw 4th St, Ontario, OR 97914-2610 | 2006-08-19 |
| 1952326027 | John Roger Lake Jr. | Dentist | 1322 Main St, Osterville, MA 02655-1542 | 2006-07-12 |
| 1215263017 | John Campbell Lake Jr. | Dentist | 2706 Main St, Newberry, SC 29108-4004 | 2009-10-29 |
| 1740360619 | John Richard Lake | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a, Minneapolis, MN 55454-1478 | 2006-10-16 |
| 1871607739 | John Steven Lake | Dentist | 345 Tachevah Dr, Ste 1, Palm Springs, CA 92262 | 2006-08-18 |
| 1780798645 | John Herbert Lake | Dentist | 345 Tachevah Dr, Suite 1, Palm Springs, CA 92262 | 2006-08-18 |
| 1568497238 | John Russell Lake | Orthopaedic Surgery | 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 | 2006-07-11 |
| Street Address |
165 E HAWTHORNE AVE |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792966 | Stevens County | Clinic/Center | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2005-07-05 |
| 1831798164 | Mariah R Demich | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1376142604 | Kortney B Vining | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1093313140 | Shiloh L Reynolds | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1447858501 | Cheyenne J Jones | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1174121230 | Daniel W James | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1629676788 | Jason M Dempsey | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1356953228 | Taylor L Lewis | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-08-20 |
| 1598381832 | Kelli S O'connor | Registered Nurse | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-06-23 |
| 1306472550 | Jodi L Sheets | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487842159 | Sally A Despain | Counselor | 309 S Jefferson St, Colville, WA 99114-3247 | 2007-10-09 |
| 1831235688 | Layne Serr | Counselor | 622 Pend Oreille Loop, Colville, WA 99114-9701 | 2007-01-29 |
| 1073688677 | Christine Allene Wilson | Counselor | 417 N Maple St, Colville, WA 99114-3013 | 2006-11-21 |
| 1255403390 | Eve M Schutt | Counselor | 856 N Walnut St, Colville, WA 99114-3158 | 2006-11-14 |
| 1104382613 | Emily Juhl Mcblair | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114-2762 | 2019-02-20 |
| 1477018562 | Faren Chandler Smith | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2019-02-04 |
| 1063953974 | Trisha Dean | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2017-03-10 |
| 1871945071 | Ronald Graham | Counselor | 358 E Birch Ave, #101, Colville, WA 99114-2762 | 2016-07-12 |
| 1629434733 | Eric Peter Larson | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2016-01-05 |
| 1114307121 | Peter C Mccombs | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2015-06-04 |
| Find all providers in COLVILLE | ||||
Please comment or provide details below to improve the information on JOHN M LAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.