Amanda Kay Lake
NPI 1992998900ActiveIndividual· Marriage & Family Therapist· Janesville, WI
Marriage & Family Therapist in Janesville, Wisconsin, licensed in WI, IA and IL, with an NPI issued in August 2007.
Overview
| NPI | 1992998900 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2007 |
| Last updated in NPPES | Dec 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 903 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 10097 | IA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15750 | WI |
| Marriage & Family Therapist | 106H00000X | 000347 | IA |
| Marriage & Family Therapist | 106H00000X | 166000869 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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