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LAKEFRONT WELLNESS CENTER, SC
NPI 1316024847
Psychologist - Clinical in Pewaukee, WI

Active since November 01, 2006
161 W WISCONSIN AVE STE 2B, PEWAUKEE, WI 53072(262) 695-8857(262) 695-8879 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakefront Wellness Center, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEFRONT WELLNESS CENTER, SC (NPI 1316024847) is a healthcare organization registered as a clinical in Pewaukee, Wisconsin and active in the NPI registry since November 2006. The organization lists Beth A. Johnson, Director, as its authorized official.

NPPES Registry Identity

NPI1316024847
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAKEFRONT WELLNESS CENTER, SC
Location Address161 W WISCONSIN AVE STE 2BPewaukee, WI 53072-3468
Mailing Address161 W Wisconsin Ave Ste 2bPewaukee, WI 53072-3468 · (262) 695-8857 · Fax (262) 695-8879
Phone(262) 695-8857
Fax(262) 695-8879
Organization SubpartNo
Authorized OfficialBeth A. JohnsonDirector · (262) 695-8857
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1316024847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 2437
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2437 (WI)
Also ListedPsychologistTaxonomy 103T00000X · License 2437 (WI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2437 (WI)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 2437 (WI)
161 W WISCONSIN AVE STE 2B, Pewaukee, WI 53072
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified000044530WI
Medicaid42230900WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANIELLE E SAMPLE PSY.D.
Psychologist (Clinical)
161 W WISCONSIN AVE STE 2B
PEWAUKEE, WI 53072
Waukesha County (262) 695-8857
MRS. JILL T BUTTERFIELD M.S. ATRL-BC
Counselor (Mental Health)
161 W WISCONSIN AVE STE 2B
PEWAUKEE, WI 53072
Waukesha County (262) 695-8857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakefront Wellness Center, Sc's NPI number?

The NPI number for Lakefront Wellness Center, Sc is 1316024847. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Lakefront Wellness Center, Sc located?

Lakefront Wellness Center, Sc is located at 161 W Wisconsin Ave Ste 2B, Pewaukee, WI 53072. The listed phone number is (262) 695-8857.

What is Lakefront Wellness Center, Sc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Lakefront Wellness Center, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Lakefront Wellness Center, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakefront Wellness Center, Sc was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.