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IGNITE PSYCHOTHERAPY SERVICES LLC
NPI 1265027221
Social Worker - Clinical in Kenosha, WI

Active since March 02, 2021
5455 SHERIDAN RD STE LL10, KENOSHA, WI 53140(262) 909-0356(262) 551-3911 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 2, 2026, Jan 26, 2026, Sep 15, 2025 and 2 more (5 updates tracked since 2021).

About Ignite Psychotherapy Services Llc NPPES

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

IGNITE PSYCHOTHERAPY SERVICES LLC (NPI 1265027221), doing business as Ignite Psychotherapy Services, is a healthcare organization registered as a clinical in Kenosha, Wisconsin and active in the NPI registry since March 2021. The organization lists Kelly Lindenbaum, Owner, as its authorized official.

NPPES Registry Identity

NPI1265027221
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameIGNITE PSYCHOTHERAPY SERVICES LLC
Location Address5455 SHERIDAN RD STE LL10Kenosha, WI 53140-3752
Mailing Address5455 Sheridan Rd Ste Ll10Kenosha, WI 53140-3752 · (262) 909-0356 · Fax (262) 551-3911
Phone(262) 909-0356
Fax(262) 551-3911
Organization SubpartNo
Authorized OfficialKelly LindenbaumOwner · (262) 909-0356
Enumeration DateMarch 2, 2021
Last NPPES UpdateFebruary 2, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1265027221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5455 SHERIDAN RD STE LL10, Kenosha, WI 53140
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Other Names 1

Doing Business AsIgnite Psychotherapy Services

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 Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ignite Psychotherapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ignite Psychotherapy Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Lindenbaum
Clinical Social Worker
NPI 1619422771
5455 SHERIDAN RD STE LL10
Kenosha, WI 53140
(262) 909-0356
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ignite Psychotherapy Services LLC's NPI number?

The NPI number for Ignite Psychotherapy Services LLC is 1265027221. It was assigned to this organization in the NPPES registry on March 2, 2021. The provider is doing business as Ignite Psychotherapy Services.

Where is Ignite Psychotherapy Services LLC located?

Ignite Psychotherapy Services LLC is located at 5455 Sheridan Rd Ste Ll10, Kenosha, WI 53140. The listed phone number is (262) 909-0356.

What is Ignite Psychotherapy Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ignite Psychotherapy Services LLC enrolled in Medicare?

Yes. Ignite Psychotherapy Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ignite Psychotherapy Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Ignite Psychotherapy Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ignite Psychotherapy Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ignite Psychotherapy Services LLC 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 Ignite Psychotherapy Services LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.