Organization Active NPI

Laura a. Rahn, LLC

  • Community/Behavioral Health Agency
  • Delafield, WI
National Provider Identifier
1043683972
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7372-123 Issued in WI
Legal business name
LAURA A. RAHN, LLC
Practice address
3215 Golf Rd
Ste 173
Delafield, WI 53018-2157
Phone
(414) 732-7187
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Laura A Rahn, LCSW
Title
Psychotherapist
Phone
(414) 732-7187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7372-123 WI Primary

Addresses

Primary practice location

3215 Golf Rd
Ste 173
Delafield, WI 53018-2157

Mailing address

S16W32615 Luterbach CT
Delafield, WI 53018-3368
Phone (414) 732-7187

Other identifiers 2

IdentifierTypeStateIssuer
1477733848OtherNPI-INDIVIDUAL
43719900MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1043683972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S16W32615 LUTERBACH CT",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530183368",
            "telephone_number": "414-732-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GOLF RD",
            "address_2": "STE 173",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182157",
            "telephone_number": "414-732-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A. RAHN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-732-7187",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "7372-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1477733848",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43719900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.