IndividualActive
Jennifer Lake
NPI 1164079968 · Mental Health Counselor · Kirkland, WA
Provider details
- NPI number
- 1164079968
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LH60971860 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11335 Ne 122nd Way Ste 105
Kirkland, WA 98034-6933
Phone: (662) 571-2025
Street-level locationGet directions
Mailing address
1286 Cross Creek Blvd
Hernando, MS 38632
Additional practice locations (1)
- 1286 Cross Creek BlvdHernando, MS 38632Phone: (662) 571-2025
Registry dates
- Enumerated
- 2019-08-26
- Last updated
- 2019-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.