Lake'S Edge Therapy Services LLC
NPI 1164205159 · Clinical Social Worker · Grand Haven, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake'S Edge Therapy Services LLC is a Clinical Social Worker organization in Grand Haven, MI (NPI 1164205159).
Provider details
- NPI number
- 1164205159
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Catherine Kolacz, Owner(616) 502-4586
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2023-08-15
- Last updated
- 2023-08-26
- Certified
- 2023-08-26
Frequently asked questions
- What is Lake'S Edge Therapy Services LLC's NPI number?
- Lake'S Edge Therapy Services LLC's National Provider Identifier (NPI) is 1164205159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake'S Edge Therapy Services LLC?
- Lake'S Edge Therapy Services LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lake'S Edge Therapy Services LLC located?
- Lake'S Edge Therapy Services LLC's practice location on file with NPPES is 212 1/2 Washington Ave Ste 3, Grand Haven, MI 49417-3316.
- What is Lake'S Edge Therapy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake'S Edge Therapy Services LLC is (616) 419-8591.
- Does Lake'S Edge Therapy Services LLC accept Medicare?
- Lake'S Edge Therapy Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake'S Edge Therapy Services LLC?
- The authorized official listed on Lake'S Edge Therapy Services LLC's NPPES record is Catherine Kolacz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake'S Edge Therapy Services LLC's NPI active?
- Yes — Lake'S Edge Therapy Services LLC's NPI (1164205159) is active in the NPPES registry as of the last update on 2023-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.