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

Michelle Lake, LPC

Individual provider Professional Counselor · NPI 1720533581

Michelle Lake, LPC is a Mental Health Counselor in Jackson, Michigan. Qualified in 2019, 7 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-5971
Fax: (517) 789-5918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401017419 (MI)

Record details

NPI number1720533581
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 22, 2016
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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