1. Home
  2. Directory
  3. Wisconsin
  4. West Bend
  5. Counselor
  6. NPI Profile

LAKESHORE WELLNESS AND RECOVERY INC
NPI 1609355452
Counselor - Professional in West Bend, WI

Active since August 13, 2018
1519 E WASHINGTON ST STE A, WEST BEND, WI 53095(262) 305-9668 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2020, Oct 30, 2020, Aug 13, 2018 (3 updates tracked since 2018).

About Lakeshore Wellness And Recovery Inc NPPES

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

LAKESHORE WELLNESS AND RECOVERY INC (NPI 1609355452) is a healthcare organization registered as a professional in West Bend, Wisconsin and active in the NPI registry since August 2018. The organization maintains 2 additional practice locations and lists Lynn Nowak, Professional Counselor / Owner, as its authorized official.

NPPES Registry Identity

NPI1609355452
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLAKESHORE WELLNESS AND RECOVERY INC
Location Address1519 E WASHINGTON ST STE AWest Bend, WI 53095-2615
Mailing Address1519 E Washington St Ste AWest Bend, WI 53095-2615 · (262) 305-9668
Phone(262) 305-9668
Organization SubpartNo
Authorized OfficialLynn NowakProfessional Counselor / Owner · (262) 305-9668
Enumeration DateAugust 13, 2018
Last NPPES UpdateNovember 2, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1609355452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 6584-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15917-132 (WI)
1519 E WASHINGTON ST STE A, West Bend, WI 53095
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111512 W Port Washington Rd, Suite 201EMequon, WI 53092 · Phone (262) 305-9668
Location 21228 Highway 33West Bend, WI 53095 · Phone (262) 305-9668

Other Identifiers 1

Medicaid1962748624WI

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

Other Providers at the Same Location NPPES 3

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

DEBORAH LEWIS VANDERKINTER LPC, SAC
Counselor (Mental Health)
1519 E WASHINGTON ST STE A
WEST BEND, WI 53095
Washington County (262) 346-4700
ASHLEY PHOUNG-TRINH ONG PC-IT
Counselor (Mental Health)
1519 E WASHINGTON ST STE A
WEST BEND, WI 53095
Washington County (262) 547-2463
EVANN GRACE ZIMA
Counselor (Mental Health)
1519 E WASHINGTON ST STE A
WEST BEND, WI 53095
Washington County (262) 346-4700

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 Lakeshore Wellness And Recovery Inc's NPI number?

The NPI number for Lakeshore Wellness And Recovery Inc is 1609355452. It was assigned to this organization in the NPPES registry on August 13, 2018.

Where is Lakeshore Wellness And Recovery Inc located?

Lakeshore Wellness And Recovery Inc is located at 1519 E Washington St Ste A, West Bend, WI 53095. The listed phone number is (262) 305-9668.

What is Lakeshore Wellness And Recovery Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lakeshore Wellness And Recovery Inc was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.