Lake Geneva Wellness Clinic LLC
NPI 1003845181 · Clinical Psychologist · Lake Geneva, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Geneva Wellness Clinic LLC is a Clinical Psychologist organization in Lake Geneva, WI (NPI 1003845181).
Provider details
- NPI number
- 1003845181
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Erika Fountain, Owner(262) 248-7942
- License
- 811-057 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Lake Geneva Wellness Clinic LLC's NPI number?
- Lake Geneva Wellness Clinic LLC's National Provider Identifier (NPI) is 1003845181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Geneva Wellness Clinic LLC?
- Lake Geneva Wellness Clinic LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lake Geneva Wellness Clinic LLC located?
- Lake Geneva Wellness Clinic LLC's practice location on file with NPPES is 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147-4950.
- What is Lake Geneva Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Geneva Wellness Clinic LLC is (262) 248-7942.
- Does Lake Geneva Wellness Clinic LLC accept Medicare?
- Lake Geneva Wellness Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Geneva Wellness Clinic LLC?
- The authorized official listed on Lake Geneva Wellness Clinic LLC's NPPES record is Erika Fountain, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Geneva Wellness Clinic LLC's NPI active?
- Yes — Lake Geneva Wellness Clinic LLC's NPI (1003845181) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.