Active NPI
Catherine Lindskog
- Professional Counselor
- Genoa City, WI
National Provider Identifier
1902204878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2312-226
- Practice address
- 39610 Lake Park CT
Genoa City, WI 53128-1283 - Phone
- (262) 902-0692
- NPI assigned
- Dec 9, 2014
- Last updated
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2312-226 | WI | Primary |
Addresses
Primary practice location
39610 Lake Park CT
Genoa City, WI 53128-1283
Mailing address
1360 Regent St Ste 133
Madison, WI 53715-1255
Phone (608) 889-7173
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5315 Wall St
Suite 200
Madison, WI 53718-1323
Phone (608) 889-7173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2312-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Center, LLC | Professional | Current | Accepting new patients |
Locations
1360 Regent St
Madison, WI 53715
Phone (608) 889-7173
5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1902204878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 REGENT ST STE 133",
"city": "MADISON",
"state": "WI",
"postal_code": "537151255",
"telephone_number": "608-889-7173",
"fax_number": "262-757-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39610 LAKE PARK CT",
"city": "GENOA CITY",
"state": "WI",
"postal_code": "531281283",
"telephone_number": "262-902-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSKOG",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2312-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Genoa City, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.