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PROFESSIONAL SERVICES GROUP, INC.
NPI 1124104740
Counselor - Mental Health in Racine, WI

Active since October 27, 2006CLIA Certified · 3 labs
800 GOOLD ST, RACINE, WI 53402(262) 638-2000(262) 638-2006 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Services Group, Inc. NPPES

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

PROFESSIONAL SERVICES GROUP, INC. (NPI 1124104740) is a healthcare organization registered as a mental health in Racine, Wisconsin and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Brian A. Wolf, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1124104740
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePROFESSIONAL SERVICES GROUP, INC.
Location Address800 GOOLD STRacine, WI 53402-4567
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004 · Fax (262) 654-6960
Phone(262) 638-2000
Fax(262) 638-2006
Organization SubpartNo
Authorized OfficialBrian A. WolfClinical Director · (262) 652-2406
Enumeration DateOctober 27, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1124104740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 2657
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2657 (WI)
800 GOOLD ST, Racine, WI 53402
Open in Google Maps ↗

Other Identifiers 2

Medicaid42246800WI
Medicare ID-Type Unspecified000084462WI · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2170018

Professional Services Group · Racine, WI
Active · expires Jul 30, 2027
CLIA Number52D2170018
Laboratory TypeMental Health Clinic/ Aod
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Leah Featherstone
Laboratory Phone(262) 652-2406
Laboratory LocationProfessional Services Group2333 Northwestern Ave, Racine, WI 53404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2170019

Professional Services Group · Janesville, WI
Active · expires Jul 30, 2027
CLIA Number52D2170019
Laboratory TypeMental Health Clinic/ Aod
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Leah Featherstone
Laboratory Phone(262) 652-2406
Laboratory LocationProfessional Services Group1905 Center Ave Suite 5, Janesville, WI 53546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2170024

Professional Services Group · Kenosha, WI
Active · expires Jul 30, 2027
CLIA Number52D2170024
Laboratory TypeMental Health Clinic/Aoda
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Leah Featherstone
Laboratory Phone(262) 652-2406
Laboratory LocationProfessional Services Group2108 63rd Street, Kenosha, WI 53143
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LAKEVIEW HEALTH, LLC
Clinic/Center (Multi-Specialty)
800 GOOLD ST
RACINE, WI 53402
Racine County (262) 456-2182
HORIZON HEALTHCARE, INC.
General Practice
800 GOOLD ST
RACINE, WI 53402
Racine County (414) 376-5577

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 Professional Services Group, Inc.'s NPI number?

The NPI number for Professional Services Group, Inc. is 1124104740. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Professional Services Group, Inc. located?

Professional Services Group, Inc. is located at 800 Goold St, Racine, WI 53402. The listed phone number is (262) 638-2000.

What is Professional Services Group, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Professional Services Group, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Professional Services Group, Inc. accept?

Health plans from CareSource (Common Ground Healthcare) list Professional Services Group, Inc. 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 Professional Services Group, Inc. was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.