Lakeside Counseling LLC
NPI 1316450554 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bradenton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Counseling LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Bradenton, FL (NPI 1316450554).
Provider details
- NPI number
- 1316450554
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Yewell, Owner/Manager(859) 457-1254
- License
- 14719 (FL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 14719 (FL)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-11-09
- Last updated
- 2017-11-09
Frequently asked questions
- What is Lakeside Counseling LLC's NPI number?
- Lakeside Counseling LLC's National Provider Identifier (NPI) is 1316450554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Counseling LLC?
- Lakeside Counseling LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Lakeside Counseling LLC located?
- Lakeside Counseling LLC's practice location on file with NPPES is 3890 E State Road 64 Unit 1, Bradenton, FL 34208-9040.
- What is Lakeside Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Counseling LLC is (859) 457-1254.
- Does Lakeside Counseling LLC accept Medicare?
- Lakeside Counseling 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 Lakeside Counseling LLC?
- The authorized official listed on Lakeside Counseling LLC's NPPES record is Patrick Yewell, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Counseling LLC's NPI active?
- Yes — Lakeside Counseling LLC's NPI (1316450554) is active in the NPPES registry as of the last update on 2017-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.