Organization Active NPI

Lakes Area Counseling Clinic

  • Mental Health Counselor
  • Lake Geneva, WI
National Provider Identifier
1124276720
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4047-125 Issued in WI
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

Updated by the provider on Sep 8, 2008

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.