Individual provider Active NPI

Laurie Ventela, LPC

  • Professional Counselor
  • Racine, WI
National Provider Identifier
1770912958
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8266-125 Issued in WI
Practice address
1143 Warwick Way Unit a
Racine, WI 53406-5661
Phone
(414) 293-0251
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional Counselor 101YP2500X 8266-125 WI Primary

Addresses

Primary practice location

1143 Warwick Way Unit a
Racine, WI 53406-5661

Mailing address

15350 W National Ave Ste 108
New Berlin, WI 53151-5158

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
I20250604001398 WI Practitioner - Mental Health Counselor 7517476138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence-Based Counseling Solutions LLCGroup PAC ID 4284163965, 6 clinicians

Practice addresses (Care Compare)

15350 W National Ave
Suite 108
New Berlin, WI 53151-5158
Phone (262) 249-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8266-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence-Based Counseling Solutions LLC Mental Health CurrentSince May 1, 2025 Accepting new patients
Credence Therapy Associates Inc Multi-Specialty PastSince Sep 1, 2019 Accepting new patients
Healthfirst Family Care Center, Inc. Past Accepting new patients
The Lakes Region Mental Health Center, Inc. Multi-Specialty PastSince Sep 24, 2009 Accepting new patients
American Behavioral Clinics, SC Multi-Specialty PastSince Sep 1, 2019 Accepting new patients

Locations

15350 W National Ave
Ste 108
New Berlin, WI 53151
Phone (262) 249-6565

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.laurieventela@149809.advancedmd-direct.com

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1770912958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 W NATIONAL AVE STE 108",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 WARWICK WAY UNIT A",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065661",
            "telephone_number": "414-293-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTELA",
        "first_name": "LAURIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8266-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.