Marvida Lake
NPI 1588249726 · Mental Health Counselor · Maryland, MD
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marvida Lake is a Mental Health Counselor provider in Maryland, MD (NPI 1588249726).
Provider details
- NPI number
- 1588249726
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LGP11474 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
5 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
- 2021-03-09
- Last updated
- 2025-05-17
- Certified
- 2025-05-17
Frequently asked questions
- What is Marvida Lake's NPI number?
- Marvida Lake's National Provider Identifier (NPI) is 1588249726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marvida Lake's specialty?
- Marvida Lake is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Marvida Lake located?
- Marvida Lake's practice location on file with NPPES is 8609 Park Avenue, Maryland, MD 20720.
- What is Marvida Lake's phone number?
- The practice phone number listed in the NPPES registry for Marvida Lake is (919) 741-3481.
- Does Marvida Lake accept Medicare?
- Marvida Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marvida Lake's NPI active?
- Yes — Marvida Lake's NPI (1588249726) is active in the NPPES registry as of the last update on 2025-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.