Lakeside Family Therapy Services Ltd
NPI 1407998719 · Mental Health Clinic/Center (Including Community Mental Health Center) · Racine, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Family Therapy Services Ltd is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Racine, WI (NPI 1407998719).
Provider details
- NPI number
- 1407998719
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Mcrae, President(262) 637-9984
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-02-13
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Frequently asked questions
- What is Lakeside Family Therapy Services Ltd's NPI number?
- Lakeside Family Therapy Services Ltd's National Provider Identifier (NPI) is 1407998719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Therapy Services Ltd?
- Lakeside Family Therapy Services Ltd is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Lakeside Family Therapy Services Ltd located?
- Lakeside Family Therapy Services Ltd's practice location on file with NPPES is 4810 Northwestern Ave, Racine, WI 53406.
- What is Lakeside Family Therapy Services Ltd's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Therapy Services Ltd is (262) 637-9984.
- Does Lakeside Family Therapy Services Ltd accept Medicare?
- Lakeside Family Therapy Services Ltd 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 Family Therapy Services Ltd?
- The authorized official listed on Lakeside Family Therapy Services Ltd's NPPES record is Jacqueline Mcrae, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Therapy Services Ltd's NPI active?
- Yes — Lakeside Family Therapy Services Ltd's NPI (1407998719) is active in the NPPES registry as of the last update on 2021-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.