Provider Demographics
NPI:1871381822
Name:RAUSCH, TRINITY (LPC-IT)
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-4128
Mailing Address - Country:US
Mailing Address - Phone:262-716-3867
Mailing Address - Fax:
Practice Address - Street 1:4600 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-1719
Practice Address - Country:US
Practice Address - Phone:262-286-1860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health