Lori Jill Hussussian

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1615 Barton Ave
West Bend, WI 53090-2029

Phone

(262) 375-1116

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northshore Clinic & Consultants, Inc.

  • Community/Behavioral Health Agency
  • Cedarburg, WI
  • NPI 1720201163
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1699452292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BARTON AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530902029",
            "telephone_number": "262-375-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BARTON AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530902029",
            "telephone_number": "262-375-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSUSSIAN",
        "first_name": "LORI",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Hughes, RN
• Humble Living Adult Family Group Home LLC
• Humble Living Home Three
• Humble Living Home Two
• Scott D Huntington, LPC
• Courtney Ann Immel, RD, CD
• Independent Physicians of Wisconsin LLC
• Infinity Healthcare Physicians, S.C.
• Inner Peace Counseling and Wellness LLC
• Integrated Life Counseling Center, LLC

• Marriage & Family Therapist in West Bend, WI
• Providers in West Bend, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.