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Dakota Lake, LCSW
NPI 1407628845 · Mental Health Counselor · Portland, OR
Dakota Lake, LCSW is a Mental Health Counselor provider in Portland, OR (NPI 1407628845).
Provider details
- NPI number
- 1407628845
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- L11777 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
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
5441 S Macadam Ave
Portland, OR 97239-6106
Phone: (971) 415-5755
Fax: (971) 415-5855
Approximate (ZIP-level) locationGet directions
Mailing address
4750 N Albina Ave Apt 406
Portland, OR 97217-2671
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Frequently asked questions
- What is Dakota Lake's NPI number?
- Dakota Lake's National Provider Identifier (NPI) is 1407628845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dakota Lake's specialty?
- Dakota Lake is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Dakota Lake located?
- Dakota Lake's practice location on file with NPPES is 5441 S Macadam Ave, Portland, OR 97239-6106.
- What is Dakota Lake's phone number?
- The practice phone number listed in the NPPES registry for Dakota Lake is (971) 415-5755.
- Is Dakota Lake's NPI active?
- Yes — Dakota Lake's NPI (1407628845) is active in the NPPES registry as of the last update on 2025-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.