Organization Active NPI

Lake City Counseling, LLC

  • Counselor
  • Monona, WI
National Provider Identifier
1679755987
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LAKE CITY COUNSELING, LLC
Practice address
1532 W Broadway Ste 202
Monona, WI 53713-1828
Phone
(608) 661-2829
Fax
(608) 661-0907
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Michaela L Voeck, MS, LPC, CSACNPI 1427358431
Title
Owner/Director
Phone
(608) 661-2829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1532 W Broadway Ste 202
Monona, WI 53713-1828

Mailing address

1532 W Broadway Ste 202
Monona, WI 53713-1828
Phone (608) 661-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000680 WI Part B Supplier - Clinic/Group Practice 6103995477 Receives reassigned benefits from 6 practitioners
Practice locations: Monona, WI

National Provider Directory

National Provider Directory

Locations

2829 Royal Ave
Ste 200
Monona, WI 53713
Phone (608) 661-2829

1532 W Broadway
Ste 202
Monona, WI 53713
Phone (608) 661-2829

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1679755987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-661-2829",
            "fax_number": "608-661-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-661-2829",
            "fax_number": "608-661-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "VOECK",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "608-661-2829",
        "authorized_official_credential": "MS, LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.