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

Mr. Casey Scott Lake, LPCA

Individual provider Professional Counselor · NPI 1588424683

Mr. Casey Scott Lake, LPCA is a Mental Health Counselor in Myrtle Beach, South Carolina. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2024
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

[email protected] 141 McDonald Court Myrtle Beach Sc 29588
Myrtle Beach, SC 29588
Phone: (843) 294-0646
Fax: (843) 294-0318
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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 11221 (SC)
Mental Health Counselor Taxonomy 101YM0800X (SC)

Record details

NPI number1588424683
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach