Active NPI
Lakes Area Counseling Clinic
- Mental Health Counselor
- Lake Geneva, WI
National Provider Identifier
1124276720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4047-125
- Legal business name
- LAKES AREA COUNSELING CLINIC
- Practice address
- W4226 W End Rd
Lake Geneva, WI 53147-3485 - Phone
- (262) 374-3444
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel W Bishop, PSY.D
- Title
- Owner
- Phone
- (262) 374-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4047-125 | WI | Primary |
Addresses
Primary practice location
W4226 W End Rd
Lake Geneva, WI 53147-3485
Mailing address
W4226 W End Rd
Lake Geneva, WI 53147-3485
Phone (262) 374-3444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1124276720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4226 W END RD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473485",
"telephone_number": "262-374-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4226 W END RD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473485",
"telephone_number": "262-374-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES AREA COUNSELING CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "BISHOP",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-374-3444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "4047-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Geneva, WI
- Lake Geneva Chiropractic Partners
- Lake Geneva Dental Care LLC
- Lake Geneva Oral and Maxillofacial Surgery, LTD
- Lake Geneva Wellness Clinic LLC
- Lake Geneva-Genoa City Union High School District
- Lakes Area Physical Therapy, LLC
- Lakes Counseling Center, LLC
- Andrew Nguyen Lam
- William Landry
- Lauren Lange, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.