Active NPI
Lutheran Counseling & Family Services
- Clinical Social Worker
- Wauwatosa, WI
National Provider Identifier
1154448330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2417
- Legal business name
- LUTHERAN COUNSELING & FAMILY SERVICES
- Practice address
- 2600 N Mayfair Rd
Suite785
Wauwatosa, WI 53226-1309 - Phone
- (414) 258-5704
- Fax
- (414) 258-8406
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chuck Meseck, PSY.D
- Title
- Ceo
- Phone
- (414) 536-8333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2417 | WI | Primary |
Addresses
Primary practice location
2600 N Mayfair Rd
Suite785
Wauwatosa, WI 53226-1309
Mailing address
2600 N Mayfair Rd
Suite785
Wauwatosa, WI 53226-1309
Phone (414) 258-5704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43556500 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Counseling Family Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Eau Claire, WI
- NPI 1497828735
-
- Clinical Social Worker
- Wauwatosa, WI
- NPI 1518978659
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wauwatosa, WI
- NPI 1184703290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154448330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "SUITE785",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-258-5704",
"fax_number": "414-258-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "SUITE785",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-258-5704",
"fax_number": "414-258-8406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN COUNSELING & FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MESECK",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-536-8333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43556500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
- Raymond Lueck, PSY.D.
- Sarah Luecke
- Jennifer Anne Luedke, PAC
- George Steven Lukats, D.D.S
- Tessa Anne Lundgren, DVM
- Lutheran Counseling & Family Services of Wisconsin
- Lutheran Counseling and Family Services of Wisconsin Inc
- Lutheran Counseling and Family Services Wisconsin
- Tasha Lutynski
- Luxottica of America Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.