Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespan Psychological Health Cooperative

Organization Mental Health Counselor · NPI 1396491403

Lifespan Psychological Health Cooperative is a Mental Health Counselor in Brookfield, Wisconsin. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001
Phone: (262) 784-1121
Fax: (262) 784-9777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 384 W Sumner St, Hartford, WI 53027-1421 — (262) 223-6125

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1396491403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Larson — Office Administration · (262) 223-3082
NPI enumeratedFebruary 28, 2022
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022
Mailing address13035 W Bluemound Rd Ste 100, Brookfield, WI 53005-8001

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