Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Gornto Lake, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1396524286

Jennifer Gornto Lake, MS, CCC-SLP is a Qualified Speech Language Pathologist in San Antonio, Texas. Qualified in 1998, 28 years ago. Practices with Rise Up Rehab, LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
28
Licensed in
TX
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone: (210) 540-8288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 109643 (TX)

Record details

NPI number1396524286
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Rise Up Rehab, Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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