LAKESIDE COUNSELING CENTER, LLC (NPI# 1215443882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215443882 |
| Entity Type | Organization |
| Organization Name | LAKESIDE COUNSELING CENTER, LLC |
| Practice Address |
312 S 7th St Delavan WI 53115-1964 |
| Mailing Address |
Po Box 781 Lake Geneva WI 53147-0781 |
| Practice Telephone | 2624758433 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | CATHERINE M LINDSKOG (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 2624758433 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6283-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676600 | Lakeside Counseling Center, LLC | Counselor | 1600 2nd Ave Apt 1803, Seattle, WA 98101-3288 | 2020-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LAKESIDE COUNSELING CENTER, LLC | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 |
| Street Address |
312 S 7TH ST |
| City | DELAVAN |
| State | WI |
| Zip Code | 53115-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598864233 | Julie R Lynch | Family Medicine | 312 S 7th St, Suite 4, Delavan, WI 53115-1964 | 2006-09-21 |
| 1013424589 | Jeannie Lindskog | Counselor | 312 S 7th St, Delavan, WI 53115-1964 | 2018-01-05 |
| 1710152210 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 312 S 7th St, Delavan, WI 53115-1964 | 2008-04-25 |
| 1942425210 | Alternative Healthcare Family Practice Center LLC | Clinic/Center | 312 S 7th St, Suite 4, Delavan, WI 53115-1964 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049486 | Careatc - Andes Candies | Clinic/Center | 1400 E. Eisconsin, Delavan, WI 53115 | 2016-09-01 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1487930350 | Sheryl Jacobson | Pharmacist | 445 S Wright Street, Delavan, WI 53115 | 2011-10-24 |
| 1407152556 | Cannula Ear Cozy LLC | Durable Medical Equipment & Medical Supplies | N2444 Doris St., Delavan, WI 53115 | 2011-02-08 |
| 1710172630 | Timothy J Rasmussen LLC | Chiropractor | 1407 Racine St, Suite D, Delavan, WI 53115 | 2007-09-13 |
| 1407065873 | Debora Lee Nevermann | Physical Therapist | 824 B East Geneva Street, Delavan, WI 53115 | 2007-05-22 |
| 1740493006 | Karen St John | Physical Therapy Assistant | 905 East Geneva Street, Delavan, WI 53115 | 2007-05-07 |
| 1043430390 | Kristin M Grenier | Physical Therapy Assistant | 824 B East Geneva St, Delavan, WI 53115 | 2007-04-27 |
| 1891852034 | Maria Teresa Galgano Chadha | Dentist | 608 E Walworth Ave, Delavan, WI 53115 | 2007-01-03 |
| 1942396718 | Clifford Robert Poplar | Internal Medicine | 915 Geneva Street, Delavan, WI 53115 | 2006-10-05 |
| Find all providers in zip 53115 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424589 | Jeannie Lindskog | Counselor | 312 S 7th St, Delavan, WI 53115-1964 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKESIDE COUNSELING CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.