Active NPI
Laura G. Brewer, PSYD
- Counseling Psychologist
- Port Washington, WI
National Provider Identifier
1093998593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2646-057
- Practice address
- 101 E Pier St
Port Washington, WI 53074-1939 - Phone
- (262) 284-3117
- Fax
- (262) 284-3087
- NPI assigned
- Dec 7, 2007
- Last updated
- Dec 7, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2646-057 | WI | Primary |
Addresses
Primary practice location
101 E Pier St
Port Washington, WI 53074-1939
Mailing address
285 N Janacek Rd
Brookfield, WI 53045-6102
Phone (262) 641-9050
Other names 1
- Laura E. Graf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1971 Washington St
Suite 200
Grafton, WI 53024-2125
Phone (262) 377-6276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2646-057 | WI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alarus Home Health LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Grafton, WI
- NPI 1457788242
-
- In Home Supportive Care Agency
- Grafton, WI
- NPI 1164834974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1093998593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N JANACEK RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530456102",
"telephone_number": "262-641-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E PIER ST",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530741939",
"telephone_number": "262-284-3117",
"fax_number": "262-284-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "LAURA",
"middle_name": "G.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "2646-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "GRAF",
"middle_name": "E.",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.