Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Family Therapy Services Ltd

Mental Health Clinic/Center (Including Community Mental Health Center) in Racine, WI · enumerated 2007 · authorized official Jacqueline Mcrae, President.

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

National Provider Identifier

1407998719

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Family Therapy Services Ltd

Practice address 4810 Northwestern Ave, Racine, WI, 53406

Phone (262) 637-9984

Fax (262) 637-9995

Enumeration date Feb 13, 2007

Last updated in NPPES Aug 6, 2021

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jacqueline Mcrae

Title President

Phone (262) 637-9984

Other identifiers

Identifier	Type	State	Issuer
42120700	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-06. Verify at npiregistry.cms.hhs.gov.

Where is Lakeside Family Therapy Services Ltd located?

The practice location on file with NPPES is in Racine, WI.

Providers at this address

Browse all →

Susan Moore Schneider Clinical Social Worker · Mount Pleasant, WI NPI 1104901222 Pamela Koonz Addiction (Substance Use Disorder) Counselor · Racine, WI NPI 1518006667 Kathleen Rothmeyer Clinical Social Worker · Racine, WI NPI 1699817023 Marjorie Rich Clinical Social Worker · Racine, WI NPI 1164564522 Jack Plate Clinical Social Worker · Racine, WI NPI 1053453340 Tom Defrancesco Clinical Social Worker · Racine, WI NPI 1053453381 Sheryl Dean Clinical Social Worker · Mount Pleasant, WI NPI 1740309699 Harbor Medical & Associates Sc Psychiatry Physician · Racine, WI NPI 1457554990

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-06.