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Lake Geneva Wellness Clinic LLC

Clinical Psychologist in Lake Geneva, WI · enumerated 2006 · authorized official Erika Fountain, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003845181

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Geneva Wellness Clinic LLC
Practice address 750 Veterans Pkwy Unit 100, Lake Geneva, WI, 53147
Phone (262) 248-7942
Fax (262) 248-1202
Enumeration date Jul 1, 2006
Last updated in NPPES Sep 12, 2024

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 811-057 (WI) Primary

Authorized official

Name Erika Fountain
Title Owner
Phone (262) 248-7942

Other identifiers

Identifier Type State Issuer
42126800 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Lake Geneva Wellness Clinic LLC?
Lake Geneva Wellness Clinic LLC is registered in NPPES as a Clinical Psychologist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-12.