Lauren Rose Demshar, MSW, APSW
Individual provider Active NPI Mental Health Counselor · Brown Deer, WI
NPI 1972806438 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1972806438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 128232121 (WI)
- Practice address
- 5600 W. Brown Deer Road
Suite 110
Brown Deer, WI 53223 - Phone
- (414) 810-6691
- Fax
- (186) 671-9302
- NPI assigned
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190218003064 | WI | Practitioner - Clinical Social Worker | 3072851997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128232121 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 251-5305
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 128232121 | WI | Yes |
Addresses
Primary practice location
5600 W. Brown Deer Road
Suite 110
Brown Deer, WI 53223
Mailing address
5600 W. Brown Deer Road
Suite 110
Brown Deer, WI 53223
Phone (414) 810-6691
Other providers in Brown Deer, WI
- Marisha S Davis
- Shenisha Davis
- Eileen Marie Dean
- Deerwood Manor
- Colleen K Del Fava
- Dentamed Healthcare LLC
- Amelia Deprez
- Jacqueline Dernek
- Anne Patricia Desellier
- Di Metz, LLC
All providers in Brown Deer, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.