Lakeshore Wellness and Recovery Inc
NPI 1609355452ActiveOrganization· Counselor, Professional· West Bend, WI
Counselor, Professional in West Bend, Wisconsin, registered in NPPES in August 2018. The authorized official on file is Lynn Nowak, LPC, CSAC, Professional Counselor / Owner.
Overview
| NPI | 1609355452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2018 |
| Last updated in NPPES | Nov 2, 2020 |
| Certified by provider | Nov 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6584-125 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15917-132 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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