AUDREY LYN MASSANISSO
NPI 1750061693
Counselor - Professional in Milwaukee, WI

Active since July 24, 2023
1219 N CASS ST, MILWAUKEE, WI 53202(414) 291-9487 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Audrey Lyn Massanisso NPPES

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

AUDREY LYN MASSANISSO (NPI 1750061693) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (7502-226) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1750061693
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDREY LYN MASSANISSO
Location Address1219 N CASS STMilwaukee, WI 53202-2770
Mailing Address3659 E Underwood AveCudahy, WI 53110-1932
Sole ProprietorYes
Enumeration DateJuly 24, 2023
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1750061693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 7502-226
1219 N CASS ST, Milwaukee, WI 53202

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Psychologist
1219 N CASS ST
MILWAUKEE, WI 53202
Social Worker (Clinical)
1219 N CASS ST
MILWAUKEE, WI 53202
Counselor (Professional)
1219 N CASS ST
MILWAUKEE, WI 53202
Social Worker (Clinical)
1219 N CASS ST
MILWAUKEE, WI 53202
Counselor (Mental Health)
1219 N CASS ST
MILWAUKEE, WI 53202
Counselor (Professional)
1219 N CASS ST
MILWAUKEE, WI 53202
Counselor (Professional)
1219 N CASS ST
MILWAUKEE, WI 53202
Clinic/Center (Adult Mental Health)
1219 N CASS ST
MILWAUKEE, WI 53202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Massanisso's NPI number?

The NPI number for Audrey Massanisso is 1750061693. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Audrey Massanisso located?

Audrey Massanisso practices at 1219 N Cass St, Milwaukee, WI 53202. The listed phone number is (414) 291-9487.

What is Audrey Massanisso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Audrey Massanisso accept?

Health plans from Medica, Network Health and UnitedHealthcare list Audrey Massanisso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Massanisso was last updated on April 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.