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

MS. Raquel O Medrano

Individual provider Mental Health Counselor · NPI 1861036295

MS. Raquel O Medrano is a Mental Health Counselor in Sheboygan, Wisconsin. Qualified in 2019, 7 years ago. Practices with Lakeside Counseling Center, LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
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Practice location Address checks out

503 Wisconsin Ave Ste 2
Sheboygan, WI 53081-4147
Phone: (920) 458-5726
Fax: (920) 458-5826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4465-226 (WI)

Record details

NPI number1861036295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address800 Wisconsin Ave, Racine, WI 53403-1526

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lakeside Counseling Center, Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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