Active NPI
Maureen Laustsen, MA LCSW LMFT
- Marriage & Family Therapist
- Milwaukee, WI
National Provider Identifier
1790818771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 513124
- Practice address
- 2363 S 102ND Street
#203
Milwaukee, WI 53227 - Phone
- (414) 545-1950
- Fax
- (414) 545-4168
- NPI assigned
- Mar 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1640123 | WI | |
| Marriage & Family Therapist | 106H00000X | 513124 | WI | Primary |
Addresses
Primary practice location
2363 S 102ND Street
#203
Milwaukee, WI 53227
Mailing address
W62 N248 Washington Avenue
Suite #207
Cedarburg, WI 53012
Phone (262) 375-1116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39630200 | 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
- Marriage and Family Therapist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16535 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5906
Phone (262) 789-1191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1640123 | WI | MD | Clinical Social Worker |
| 513124 | WI | MD | Marriage & Family Therapist |
| 513 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Northshore Clinic & Consultants, Inc. | Past | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
Interoperability endpoints
- lifestancehealth.maureenlaustsen@149809.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
- Community/Behavioral Health Agency
- Cedarburg, WI
- NPI 1720201163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1790818771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W62 N248 WASHINGTON AVENUE",
"address_2": "SUITE #207",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "53012",
"telephone_number": "262-375-1116",
"fax_number": "262-375-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 S 102ND STREET",
"address_2": "#203",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53227",
"telephone_number": "414-545-1950",
"fax_number": "414-545-4168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUSTSEN",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "MA LCSW LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1640123",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "513124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39630200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.