Individual provider Active NPI

Lauren H. Mascari, PHD, LP, NCC

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1255854006
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4062.57 Issued in WI
Practice address
1316 W Forest Home Avenue Suite a
Milwaukee, WI 53204-3227
Phone
(414) 424-5000
Fax
(262) 725-4000
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3375-226 WI
Mental Health Counselor 101YM0800X 3375-226 WI
Professional Counselor 101YP2500X 731257
Psychologist 103T00000X 4062.57 WI Primary

Addresses

Primary practice location

1316 W Forest Home Avenue Suite a
Milwaukee, WI 53204-3227

Mailing address

1316 W Forest Home Avenue Suite a
Milwaukee, WI 53204-3227
Phone (414) 424-5000

Other practice location 1

1845 N. Farwell Ave.
Suite 303-B
Milwaukee, WI 53202
Phone (414) 240-9103 ext. 4

Other identifiers 1

IdentifierTypeStateIssuer
1255854006MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814002020 WI Practitioner - Clinical Psychologist 4486013588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3375-226WIMDMental Health Counselor
4062.57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2023 Accepting new patients
New Insights LLC CurrentSince Aug 1, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2023 Accepting new patients
The Medical College of Wisconsin Inc Past Accepting new patients

Locations

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500

1845 N Farwell Ave
Ste 303B
Milwaukee, WI 53202
Phone (414) 604-6413

1316 W Forest Home Ave
Ste A
Milwaukee, WI 53204
Phone (414) 424-5000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1255854006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W FOREST HOME AVENUE SUITE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043227",
            "telephone_number": "414-424-5000",
            "fax_number": "262-725-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W FOREST HOME AVENUE SUITE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043227",
            "telephone_number": "414-424-5000",
            "fax_number": "262-725-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 N. Farwell Ave.",
            "address_2": "Suite 303-B",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53202",
            "country_code": "US",
            "telephone_number": "414-240-9103 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCARI",
        "first_name": "LAUREN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "3375-226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3375-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "731257",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "4062.57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255854006",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.