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

Laurie Rae Reisener, LPC-IT

Individual provider Professional Counselor · NPI 1689400210

Laurie Rae Reisener, LPC-IT is a Mental Health Counselor in Shorewood, Wisconsin. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3703 N Murray Ave
Shorewood, WI 53211-2554
Phone: (414) 698-7776
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8106-226 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 8106-226 (WI)

Record details

NPI number1689400210
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedSeptember 10, 2024
Last updated in NPPESOctober 7, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Shorewood