Eric S Lake, MA,LLP, CADC - Counselor in Grand Rapids, MI

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Eric S Lake, MA,LLP, CADC is a Psychologist - Counseling based in Grand Rapids, Michigan. Eric S Lake is licensed to practice in Michigan (license number 6361002966) and his current practice location is 235 Wealthy St Se, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 840-8000.

NPI number for Eric S Lake is 1053644377 and his current mailing address is 235 Wealthy St Se, Grand Rapids, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053644377.

Contact Information

Eric S Lake, MA,LLP, CADC
235 Wealthy St Se,
Grand Rapids, MI 49503-5247
(616) 840-8000
(616) 840-9771

Map and Direction


Healthcare Provider's Profile

Full NameEric S Lake
GenderMale
SpecialityPsychologist - Counseling
Location235 Wealthy St Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053644377
  • Provider Enumeration Date: 09/18/2009
  • Last Update Date: 03/06/2024

Medical Identifiers

Medical identifiers for Eric S Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053644377NPI-NPPES
47082303526MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 8952 (Nebraska)Secondary
101YM0800XCounselor - Mental Health 121 (Nebraska)Secondary
103TC1900XPsychologist - Counseling 6361002966 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eric S Lake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eric S Lake, MA,LLP, CADC
235 Wealthy St Se,
Grand Rapids, MI 49503-5247

Ph: (616) 840-8000		Eric S Lake, MA,LLP, CADC
235 Wealthy St Se,
Grand Rapids, MI 49503-5247

Ph: (616) 840-8000

Reviews and Comments


Psychologist in Grand Rapids, MI


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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