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Lakefront Wellness Center, Sc

Clinical Psychologist in Pewaukee, WI · enumerated 2006 · authorized official Beth Johnson, Director.

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

National Provider Identifier

1316024847

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Registry record

Entity type Organization (Type 2)
Legal business name Lakefront Wellness Center, Sc
Practice address 161 W Wisconsin Ave Ste 2b, Pewaukee, WI, 53072
Fax (262) 695-8879
Enumeration date Nov 1, 2006
Last updated in NPPES Aug 27, 2013

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 2437 (WI) Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers · License 2437 (WI) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 2437 (WI) Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 2437 (WI) Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 2437 (WI) Secondary

Authorized official

Name Beth Johnson
Title Director

Other identifiers

Identifier Type State Issuer
42230900 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 Lakefront Wellness Center, Sc?
Lakefront Wellness Center, Sc 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 2013-08-27.