Individual provider Active NPI

Laura Lynn Pulsifer, LCSW

  • Mental Health Counselor
  • Waukesha, WI
National Provider Identifier
1760580328
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3827 Issued in WI
Practice address
101 W. Broadway 2ND Floor
Waukesha, WI 53186
Phone
(262) 547-5567
Fax
(262) 547-1608
NPI assigned
Sep 20, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3827 WI Primary

Addresses

Primary practice location

101 W. Broadway 2ND Floor
Waukesha, WI 53186

Mailing address

101 W. Broadway 2ND Floor
Waukesha, WI 53186
Phone (262) 547-5567

Other identifiers 1

IdentifierTypeStateIssuer
409-81-100MedicaidWI

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
I20080307000300 WI Practitioner - Clinical Social Worker 2860577343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Mental Health Consultants IncGroup PAC ID 5597665026, 8 clinicians

Practice addresses (Care Compare)

2600 N Mayfair Rd
Suite 305
Wauwatosa, WI 53226-1303
Phone (414) 257-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3827WIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Mental Health Consultants Inc CurrentSince May 18, 2011 Accepting new patients
Family Service Agency of Waukesha County Inc Mental Health CurrentSince Dec 14, 2014 Accepting new patients
Family Services of Waukesha Past Accepting new patients

Locations

N88W16848 Main St
Menomonee Falls, WI 53051
Phone (262) 547-5567

101 W Broadway
Fl 2
Waukesha, WI 53186
Phone (262) 547-5567

2727 N Grandview Blvd
Ste 203
Waukesha, WI 53188
Phone (262) 547-5567

726 N East Ave
Waukesha, WI 53186
Phone (262) 522-3680

2600 N Mayfair Rd
Ste 305
Wauwatosa, WI 53226
Phone (414) 257-0233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1760580328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W. BROADWAY 2ND FLOOR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. BROADWAY 2ND FLOOR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULSIFER",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409-81-100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.