Lakeview Care Partners, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LAKEVIEW CARE PARTNERS, INC.

Doing business as

Lakeview Mill Pond

Practice address

1701 Sharp Rd
Waterford, WI 53185-5214

Phone

(262) 534-7297

Fax

(262) 534-7257

NPI assigned

Oct 15, 2010

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andy Olivares

Title

President/Coo

Phone

(262) 534-7297

Specialties & licenses 5

Addresses

Other names 1

• Lakeview Mill Pond Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Lakeview Care Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeview Care Partners

  dba Mill Pond 2

  • Mental Illness Community Based Residential Treatment Facility
  • Westfield, WI
  • NPI 1184905622
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia D Sorenson, PHD

  • Cognitive & Behavioral Psychologist
  • Waterford, WI
  • NPI 1518004753
  Medicare reassignment Care Compare group NPD
• Patti Wagner, LPC

  • Mental Health Counselor
  • Waterford, WI
  • NPI 1396255774
  Medicare reassignment Care Compare group NPD
• Bruce A Semon, MD

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1114020773
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1083924732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SHARP RD",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531855214",
            "telephone_number": "262-534-7297",
            "fax_number": "262-534-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SHARP RD",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531855214",
            "telephone_number": "262-534-7297",
            "fax_number": "262-534-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S Market St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "WI",
            "postal_code": "539649046",
            "country_code": "US",
            "telephone_number": "608-474-1229",
            "fax_number": "608-296-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKEVIEW CARE PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2025-09-02",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "262-534-7297"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Mill Pond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda M Krakora, PT
• Emily Jess Krieger
• Mary Lynn Kubiak, BSN, RN
• Nitesh Kumar, MD
• Satish Lahiri, MD
• Lakeview Critical Care EMS, Inc
• Lakeview Healthcare Systems Waterford
• Lakeview Neurorehab Center Midwest, Inc
• Lakeview Neurorehab Center Midwest, Inc (Lakeview Specialty Hospital and Rehab)
• Lakeview Neurorehab Center Midwest, Inc (Lakeview Specialty Hospital)

• Mental Illness Community Based Residential Treatment Facility in Waterford, WI
• Providers in Waterford, WI by specialty
• Mental Illness Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.