Lutheran Counseling and Family Services Wisconsin

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

6102 Issued in WI

Legal business name

LUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN

Practice address

3800 N Mayfair Rd
Wauwatosa, WI 53222-2213

Phone

(414) 536-8333

Fax

(414) 536-8348

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deb Raeburn, LPC

Title

Ceo

Phone

(414) 536-8334

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1033661830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222213",
            "telephone_number": "414-536-8333",
            "fax_number": "414-536-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222213",
            "telephone_number": "414-536-8333",
            "fax_number": "414-536-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "RAEBURN",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-536-8334",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "6102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Steven Lukats, D.D.S
• Tessa Anne Lundgren, DVM
• Lutheran Counseling & Family Services
• Lutheran Counseling & Family Services of Wisconsin (none)
• Lutheran Counseling and Family Services of Wisconsin Inc
• Tasha Lutynski
• Luxottica of America Inc (LensCrafters #1306)
• Luxottica of America Inc (Target Optical F577)
• Mark Lydecker
• Wendy Lee Lynch, LPC-IT

• Adolescent and Children Mental Health Clinic/Center in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Adolescent and Children Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.