Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakefront Wellness Center, SC

Organization Mental Health Counselor · NPI 1316024847

Lakefront Wellness Center, SC is a Mental Health Counselor in Pewaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

161 W Wisconsin Ave Ste 2B
Pewaukee, WI 53072-3468
Phone: (262) 695-8857
Fax: (262) 695-8879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2437 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2437 (WI)
Psychologist Taxonomy 103T00000X · Licence 2437 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2437 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 2437 (WI)

Record details

NPI number1316024847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Johnson — Director · (262) 695-8857
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 27, 2013
Mailing address161 W Wisconsin Ave Ste 2b, Pewaukee, WI 53072-3468

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