LAKES COUNSELING CENTER, LLC (NPI# 1649760216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649760216 |
| Entity Type | Organization |
| Organization Name | LAKES COUNSELING CENTER, LLC |
| Practice Address |
N3255 Uranus Rd Lake Geneva WI 53147-3125 |
| Practice Telephone | 8153551972 |
| Mailing Telephone | 8153551972 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. KATIE NELL HEPNER (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 8153551972 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
180.011336 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6913-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
N3255 URANUS RD |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063993038 | Kathleen Bullard Psychotherapy LLC | Counselor | 647 W Main St, Lake Geneva, WI 53147-1990 | 2018-08-27 |
| 1902259807 | Christina Dame | Counselor | 445 Connie Cir, Lake Geneva, WI 53147-2246 | 2016-07-15 |
| 1932548583 | Melinda M Pedersen | Counselor | 647 W Main St Ste 900, Lake Geneva, WI 53147-1985 | 2013-06-17 |
| 1003016627 | Valarie Jo Lura | Counselor | N3251 Queen Rd, Lake Geneva, WI 53147-3330 | 2007-07-22 |
| 1679606529 | Sally Bardin | Counselor | 101 Broad St Ste 201, Lake Geneva, WI 53147-2061 | 2007-03-13 |
| 1619473998 | Ashlie Moelter | Counselor | 101 Broad St Ste 201, Lake Geneva, WI 53147-2061 | 2018-04-04 |
| 1851757850 | Robert John Barnett | Counselor | 101 Broad St, Suite 201, Lake Geneva, WI 53147-2000 | 2016-01-06 |
| 1871725713 | John Edward Noyer | Counselor | 101 Broad St, Lake Geneva, WI 53147-2000 | 2009-08-11 |
| 1619014859 | Barbara Lynn Mehnert | Counselor | 146 E Geneva Square, Lake Geneva, WI 53147 | 2007-01-30 |
| 1821141730 | Lisa C Broll | Counselor | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2007-01-22 |
| Find all providers in LAKE GENEVA | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
Please comment or provide details below to improve the information on LAKES 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.