Individual provider Active NPI

Maureen Laustsen, MA LCSW LMFT

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1790818771
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
513124 Issued in WI
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39630200MedicaidWI

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
I20240229002063 WI Practitioner - Marriage and Family Therapist 4880039874 Reassigns benefits to 1 organization

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
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

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

LicenseStateTypeSpecialty
1640123WIMDClinical Social Worker
513124WIMDMarriage & Family Therapist
513WIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Northshore Clinic & Consultants, Inc. PastSince Apr 20, 2009 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.