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NICOLE SANTOS LPC
NPI 1487497095
Counselor - Mental Health in Lake Geneva, WI

Active since June 13, 2024PECOS Enrolled
750 VETERANS PKWY UNIT 100, LAKE GENEVA, WI 53147(262) 248-7942 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Santos Lpc NPPES

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

NICOLE SANTOS LPC (NPI 1487497095) is an individual mental health provider in Lake Geneva, Wisconsin, licensed in Wisconsin (12678-125) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487497095
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE SANTOSCredential: LPC
Location Address750 VETERANS PKWY UNIT 100Lake Geneva, WI 53147-4950
Mailing Address750 Veterans Pkwy Unit 100Lake Geneva, WI 53147-4950 · (262) 248-7942
Phone(262) 248-7942
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2024
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1487497095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 12678-125
750 VETERANS PKWY UNIT 100, Lake Geneva, WI 53147
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Santos Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244794006
PECOS Enrollment IDI20260713001527
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Santos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Geneva Wellness Clinic LLC
Same address
Clinical
750 VETERANS PKWY UNIT 100
Lake Geneva, WI 53147
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 clinicians in this Medicare group
NPI 1003845181 (262) 248-7942

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

LAKE GENEVA WELLNESS CLINIC LLC
Psychologist (Clinical)
750 VETERANS PKWY UNIT 100
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
MATTHEW BANAS
Counselor (Mental Health)
750 VETERANS PKWY UNIT 100
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
MELANIE WEIGEL
Counselor (Professional)
750 VETERANS PKWY UNIT 100
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
ERIKA KARNA FOUNTAIN M.A. LPC
Counselor (Mental Health)
750 VETERANS PKWY UNIT 100
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
ALEXANDRIA HOPE MORAN
Social Worker (Clinical)
750 VETERANS PKWY UNIT 100
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942
MRS. LAURIE DAWN LINDEN LCSW
Social Worker (Clinical)
750 VETERANS PKWY UNIT 100
LAKE GENEVA, WI 53147
Walworth County (262) 248-7942

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 Nicole Santos's NPI number?

The NPI number for Nicole Santos is 1487497095. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Nicole Santos located?

Nicole Santos practices at 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147. The listed phone number is (262) 248-7942.

What is Nicole Santos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Santos enrolled in Medicare?

Yes. Nicole Santos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Santos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Santos reassigns Medicare benefits to Lake Geneva Wellness Clinic LLC (Lake Geneva, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Santos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Santos accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and UnitedHealthcare list Nicole Santos 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 Nicole Santos was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.