NPIMap

Organization Active NPI

Lutheran Counseling and Family Services of Wisconsin Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauwatosa, WI
National Provider Identifier
1184703290
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC
Practice address
3800 N Mayfair Rd
Wauwatosa, WI 53222-2200
Phone
(414) 536-8333
Fax
(414) 536-8348
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Dr. Chuck Meseck, PSYD
Title
Ceo
Phone
(414) 536-8333

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3800 N Mayfair Rd
Wauwatosa, WI 53222-2200

Mailing address

3800 N Mayfair Rd
Wauwatosa, WI 53222-2200
Phone (414) 536-8333

Other identifiers 1

IdentifierTypeStateIssuer
42133600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000343 WI Part B Supplier - Clinic/Group Practice 4587565742 Receives reassigned benefits from 20 practitioners
Practice locations: Portage, WI; Wauwatosa, WI; Sun Prairie, WI; Shawano, WI; Cudahy, WI

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Counseling Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4850 S Lake Dr
Cudahy, WI 53110
Phone (414) 536-8333

260 Vincent St
Fond du Lac, WI 54935
Phone (888) 867-4840

2940 Mineral Point Ave
Janesville, WI 53548
Phone (800) 291-4513

1021 Spaight St
Madison, WI 53703
Phone (800) 291-4513

12800 N Lake Shore Dr
Mequon, WI 53097
Phone (262) 243-4537

1228 S Park Ave
Neenah, WI 54956
Phone (888) 867-4840

210 E Pleasant St
Oconomowoc, WI 53066
Phone (800) 291-4513

850 Armstrong St
Portage, WI 53901
Phone (414) 536-8333

324 S Andrews St
Shawano, WI 54166
Phone (715) 524-4840

300 Broadway Dr
Sun Prairie, WI 53590
Phone (414) 536-8333

501 Stewart Ave
Wausau, WI 54401
Phone (888) 867-4840

3800 N Mayfair Rd
#1
Wauwatosa, WI 53222
Phone (262) 536-8333

809 S 6th Ave
West Bend, WI 53095
Phone (800) 291-4513

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1184703290",
    "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": "532222200",
            "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": "532222200",
            "telephone_number": "414-536-8333",
            "fax_number": "414-536-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "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": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42133600",
            "state": "WI"
        }
    ],
    "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 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.