Erika Karna Fountain-kiser, MA LPC | |
750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147-4950 | |
(262) 248-7942 | |
(262) 248-1202 |
Full Name | Erika Karna Fountain-kiser |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306023932 | NPI | - | NPPES |
43732300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4002-125 (Wisconsin) | Primary |
Entity Name | Lake Geneva Wellness Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003845181 PECOS PAC ID: 7517139447 Enrollment ID: O20111018000668 |
Mailing Address | Practice Location Address |
---|---|
Erika Karna Fountain-kiser, MA LPC 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147-4950 Ph: (262) 248-7942 | Erika Karna Fountain-kiser, MA LPC 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147-4950 Ph: (262) 248-7942 |
Ms. Valarie Jo Lura, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N3251 Queen Rd, Lake Geneva, WI 53147 Phone: 262-248-0626 | |
Julie A Rice, LPC Counselor Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-637-2901 | |
Irene Corzo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 772 Main St, Suite 203, Lake Geneva, WI 53147 Phone: 847-890-1369 | |
Jennifer Frye Keefe, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-0830 Fax: 262-249-0835 | |
Mr. Joseph Fairbanks, LPC, CEAP, NCC Counselor Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 877-666-7223 | |
Matthew Banas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147 Phone: 262-248-7942 | |
Meggan Kathleen Lazzaroni, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 647 W Main St Ste 700, Lake Geneva, WI 53147 Phone: 262-729-3143 |