Active NPI
Laura Lynn Pulsifer, LCSW
- Mental Health Counselor
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3827
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409-81-100 | Medicaid | WI |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3827 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Mental Health Consultants Inc | Current | Accepting new patients | |
| Family Service Agency of Waukesha County Inc | Mental Health | Current | 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.
-
- Psychiatry Physician
- Wauwatosa, WI
- NPI 1063437986
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1568404671
-
- Community/Behavioral Health Agency
- Waukesha, WI
- NPI 1265677884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.