| Lakes Counseling Center, Llc | |
|
N3219 County H Ste E Lake Geneva WI 53147-7074 | |
| (262) 261-1409 | |
| Not Available |
| Full Name | Lakes Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | N3219 County H Ste E, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Katie Nell Hepner (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2622611409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Counseling Center, Llc N3219 County Trunk H Ste E Lake Geneva WI 53147-7074 Ph: (262) 261-1409 | Lakes Counseling Center, Llc N3219 County H Ste E Lake Geneva WI 53147-7074 Ph: (262) 261-1409 |
| NPI Number | 1649760216 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 11/29/2023 |
| Certification Date | 12/27/2020 |
| Medicare PECOS PAC ID | 0941648745 |
|---|---|
| Medicare Enrollment ID | O20240328003799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649760216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn Hepner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720438336 PECOS PAC ID: 1850739657 Enrollment ID: I20240328003850 |
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