Individual provider Active NPI

Erika Karna Fountain, M.A. LPC

  • Mental Health Counselor
  • Lake Geneva, WI
National Provider Identifier
1306023932
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4002-125 Issued in WI
Practice address
750 Veterans Pkwy Unit 100
Lake Geneva, WI 53147-4950
Phone
(262) 248-7942
Fax
(262) 248-1202
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4002-125 WI Primary

Addresses

Primary practice location

750 Veterans Pkwy Unit 100
Lake Geneva, WI 53147-4950

Mailing address

750 Veterans Pkwy Unit 100
Lake Geneva, WI 53147-4950
Phone (262) 248-7942

Other identifiers 1

IdentifierTypeStateIssuer
43732300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116001166 WI Practitioner - Mental Health Counselor 9537332796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Geneva Wellness Clinic LLCGroup PAC ID 7517139447, 7 clinicians

Practice addresses (Care Compare)

750 Veterans Pkwy
Unit 100
Lake Geneva, WI 53147-4950
Phone (262) 248-7942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4002-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Geneva Wellness Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

750 Veterans Pkwy
Unit 100
Lake Geneva, WI 53147
Phone (262) 248-7942

101 Broad St
Ste 201
Lake Geneva, WI 53147
Phone (262) 248-7942

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1306023932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 VETERANS PKWY UNIT 100",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474950",
            "telephone_number": "262-248-7942",
            "fax_number": "262-248-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VETERANS PKWY UNIT 100",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474950",
            "telephone_number": "262-248-7942",
            "fax_number": "262-248-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "ERIKA",
        "middle_name": "KARNA",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4002-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43732300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

Verify at the official NPI Registry.