Lakeshores Outpatient Clinic
NPI 1629111943 · Mental Health Clinic/Center (Including Community Mental Health Center) · Kenosha, WI
Lakeshores Outpatient Clinic is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Kenosha, WI (NPI 1629111943).
Provider details
- NPI number
- 1629111943
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melanie Barbeaux-Stinson, Director(262) 656-9975
- License
- 2605 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 2605 (WI)
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
Other names (DBA / former)
- Doing business as
- Brotoloc
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lakeshores Outpatient Clinic's NPI number?
- Lakeshores Outpatient Clinic's National Provider Identifier (NPI) is 1629111943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshores Outpatient Clinic?
- Lakeshores Outpatient Clinic is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Lakeshores Outpatient Clinic located?
- Lakeshores Outpatient Clinic's practice location on file with NPPES is 3917 47th Ave, Kenosha, WI 53144-1956.
- What is Lakeshores Outpatient Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lakeshores Outpatient Clinic is (262) 656-9975.
- Who is the authorized official for Lakeshores Outpatient Clinic?
- The authorized official listed on Lakeshores Outpatient Clinic's NPPES record is Melanie Barbeaux-Stinson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshores Outpatient Clinic's NPI active?
- Yes — Lakeshores Outpatient Clinic's NPI (1629111943) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.