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

Audrey Lyn Massanisso

Individual provider Professional Counselor · NPI 1750061693

Audrey Lyn Massanisso is a Professional Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

1219 N Cass St
Milwaukee, WI 53202-2770
Phone: (414) 291-9487
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7502-226 (WI)

Record details

NPI number1750061693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

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