LUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN
NPI 1033661830
Clinic/Center - Adolescent and Children Mental Health in Wauwatosa, WI

Q: What is Lutheran Counseling And Family Services Wisconsin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since October 27, 2016CLIA 52D2210155 · Waiver

3800 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 536-8333(414) 536-8348 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lutheran Counseling And Family Services Wisconsin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN (NPI 1033661830) is a healthcare organization registered as an adolescent and children mental health in Wauwatosa, Wisconsin and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Deb Raeburn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033661830

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameLUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN

Location Address3800 N MAYFAIR RDWauwatosa, WI 53222-2213

Mailing Address3800 N Mayfair RdWauwatosa, WI 53222-2213 · (414) 536-8333 · Fax (414) 536-8348

Phone(414) 536-8333

Fax(414) 536-8348

Organization SubpartNo

Authorized OfficialDeb RaeburnCeo · (414) 536-8334

Enumeration DateOctober 27, 2016

✔ NPI 1033661830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in WI · 6102

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

3800 N MAYFAIR RD, Wauwatosa, WI 53222

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2210155

Lutheran Counseling And Family Services Of Wisconsin, Inc · Wauwatosa, WI

Active · expires Jan 19, 2027

CLIA Number52D2210155

Laboratory TypeOutpatient Aoda Clinic

Certificate Effective DateJanuary 20, 2025

Certificate Expiration DateJanuary 19, 2027

Laboratory DirectorMs. Deborah L. Rayburn

Laboratory Phone(414) 536-8333

Laboratory LocationLutheran Counseling And Family Services Of Wisconsin, Inc3800 N Mayfair Rd, Wauwatosa, WI 53222

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES ARNOLD JENSEN PHD

Psychologist

3800 N MAYFAIR RD, LUTHERAN COUNSELING & FAMILY SERVICES
WAUWATOSA, WI 53222

Milwaukee County (414) 536-8333

MRS. ERICA JO WRIGHT LPC-IT

Counselor (Professional)