1. Home
  2. Directory
  3. Wisconsin
  4. Racine
  5. Clinic Center
  6. NPI Profile

LAKESIDE FAMILY THERAPY SERVICES LTD
NPI 1407998719
Clinic/Center - Mental Health (Including Community Mental Health Center) in Racine, WI

Active since February 13, 2007
4810 NORTHWESTERN AVE, RACINE, WI 53406(262) 637-9984(262) 637-9995 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About Lakeside Family Therapy Services Ltd NPPES

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

LAKESIDE FAMILY THERAPY SERVICES LTD (NPI 1407998719) is a healthcare organization registered as a mental health (including community mental health center) in Racine, Wisconsin and active in the NPI registry since February 2007. The organization lists Jacqueline V Mcrae, President, as its authorized official.

NPPES Registry Identity

NPI1407998719
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLAKESIDE FAMILY THERAPY SERVICES LTD
Location Address4810 NORTHWESTERN AVERacine, WI 53406
Mailing Address4810 Northwestern AveRacine, WI 53406-1504 · (262) 637-9984 · Fax (262) 637-9995
Phone(262) 637-9984
Fax(262) 637-9995
Organization SubpartNo
Authorized OfficialJacqueline V McraePresident · (262) 637-9984
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1407998719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4810 NORTHWESTERN AVE, Racine, WI 53406
Open in Google Maps ↗

Other Identifiers 1

Medicaid42120700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 14

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

KATHLEEN R ROTHMEYER MSW,CADC III, LCSW
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
JACK A PLATE LCSW,LMFT
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
TOM A DEFRANCESCO LCSW, CADC
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
HARBOR MEDICAL & ASSOCIATES SC
Psychiatry & Neurology (Psychiatry)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-2050
SUSAN E MOORE SCHNEIDER MSW, LCSW
Social Worker (Clinical)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 637-9984
MARJORIE J RICH MSSW, LCSW
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
JACQUELINE VENESIA MCRAE ICS, SAC-IT
Counselor (Addiction (Substance Use Disorder))
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 637-9984
MR. RICKY A PERSON SR. CSAC. ICS
Counselor (Addiction (Substance Use Disorder))
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 583-2714

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 Lakeside Family Therapy Services Ltd's NPI number?

The NPI number for Lakeside Family Therapy Services Ltd is 1407998719. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Lakeside Family Therapy Services Ltd located?

Lakeside Family Therapy Services Ltd is located at 4810 Northwestern Ave, Racine, WI 53406. The listed phone number is (262) 637-9984.

What is Lakeside Family Therapy Services Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Lakeside Family Therapy Services Ltd accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Lakeside Family Therapy Services Ltd 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 Lakeside Family Therapy Services Ltd was last updated on August 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.