Elizabeth Ann Lake, LMHC in Mishawaka, IN - Medicare Counselor Provider

Elizabeth Ann Lake, LMHC is a medicare enrolled "Counselor - Professional" provider in Mishawaka, Indiana. Her current practice location is 2410 Grape Rd Ste 1, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 298-7733.

Elizabeth Ann Lake is licensed to practice in Indiana (license number 39005191A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801619119.

Contact Information

	Elizabeth Ann Lake, LMHC
	2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015
	(574) 298-7733
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Ann Lake
Gender	Female
Speciality	Counselor - Professional
Location	2410 Grape Rd Ste 1, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801619119
Provider Enumeration Date: 11/05/2024
Last Update Date: 12/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1456881259
Enrollment ID: I20250210000545

Medical Identifiers

Medical identifiers for Elizabeth Ann Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801619119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	39005191A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elizabeth Ann Lake allows following entities to bill medicare on her behalf.

Entity Name	Libby Lake Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205659554 PECOS PAC ID: 0547790347 Enrollment ID: O20250210000514

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. Elizabeth Ann Lake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elizabeth Ann Lake, LMHC 2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015 Ph: (574) 298-7733	Elizabeth Ann Lake, LMHC 2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015 Ph: (574) 298-7733

Reviews and Comments

Counselor in Mishawaka, IN

Krista Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Lincolnway E, Mishawaka, IN 46544 Phone: 574-807-6009
Melissa Boyll, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Sandy Imanse, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-255-5669 Fax: 574-537-2652
Seth Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882
Carolyn Logue, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Dennis A Fehr, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Rozi P Wax, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincoln Way East, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882

Elizabeth Ann Lake, LMHC - Medicare Counselor in Mishawaka, IN