Abigail Diane Lake, DNP, PMHNP-BC
Abigail Diane Lake, DNP, PMHNP-BC is a Nurse Practitioner in Rockford, Illinois. Qualified in 2023, 3 years ago. Practices with Aspen Counseling and Consulting LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
8616 Northern AveRockford, IL 61107-5309
Phone: (815) 399-9700
Fax: (815) 394-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209.028520 (IL) |
|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | Taxonomy 163WA0400X · Licence 041404632 (IL) |
Record details
| NPI number | 1730669409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DNP , PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | August 21, 2018 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | September 15, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Aspen Counseling And Consulting Llc — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Rockford
-
Heather Borgardt
2704 N Main St, Rockford, IL 61103-3112 · (815) 968-9300
-
Terry Lynn Bunger
3815 Harrison Ave, Rockford, IL 61108-7631 · (815) 391-1000
-
Julia Marquez, RN
1601 N University Dr, Rockford, IL 61107-5317 · (815) 391-1000