Individual provider Active NPI

Laura M Reinke, MFT-IT

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1326565631
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
595-228 Issued in WY
Practice address
3012 N Holton St
Milwaukee, WI 53212-2123
Phone
(800) 438-1772
Fax
(262) 293-9737
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 595-228 WY Primary

Addresses

Primary practice location

3012 N Holton St
Milwaukee, WI 53212-2123

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Phone (800) 438-1772

Other names 1

  • Laura M Lesinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • 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
I20240125001730 WI Practitioner - Marriage and Family Therapist 0446603591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
595-228WYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child and Family Service Inc CurrentSince Jan 1, 2024 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc. Past Accepting new patients

Locations

4351 W College Ave
Ste 410
Appleton, WI 54914
Phone (262) 345-5599

W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533

9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560

Organizations & group practices 3

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1326565631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "800-438-1772",
            "fax_number": "262-293-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 N HOLTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122123",
            "telephone_number": "800-438-1772",
            "fax_number": "262-293-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "MFT-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "595-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LESINSKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.