Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. James Andrew Lake, LCMFT, SCC-C, DMINN

Individual provider Pastoral Counselor · NPI 1356217913

Dr. James Andrew Lake, LCMFT, SCC-C, DMINN is a Pastoral Counselor in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

4461 Buckingham Rd
Fort Myers, FL 33905-7221
Phone: (330) 333-1909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence LCMFT0559020423 (FL)

Record details

NPI number1356217913
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMFT , SCC-C , DMINN
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 10, 2025

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