Active NPI
Payton Isabella Rens Leutner, LPC-IT
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1023943313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9054-226
- Practice address
- 11803 W North Ave Ste 200
Wauwatosa, WI 53226-2077 - Phone
- (414) 999-0102
- NPI assigned
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9054-226 | WI | Primary |
Addresses
Primary practice location
11803 W North Ave Ste 200
Wauwatosa, WI 53226-2077
Mailing address
4369 S Howell Ave Ste 306
Milwaukee, WI 53207-5098
Phone (414) 999-0102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therayology, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1639647597
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1023943313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4369 S HOWELL AVE STE 306",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532075098",
"telephone_number": "414-999-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 W NORTH AVE STE 200",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262077",
"telephone_number": "414-999-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUTNER",
"first_name": "PAYTON",
"middle_name": "ISABELLA RENS",
"credential": "LPC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-16",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "9054-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.