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PROFESSIONAL SERVICES GROUP, INC.
NPI 1396821005
Counselor - Mental Health in West Allis, WI

Active since October 27, 2006CLIA 52D2121918 · Waiver
1126 S 70TH ST, SUITE S507, WEST ALLIS, WI 53214(414) 727-2789(414) 476-8695 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 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 1396821005) is a healthcare organization registered as a mental health in West Allis, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Brian A. Wolf, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1396821005
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePROFESSIONAL SERVICES GROUP, INC.
Location Address1126 S 70TH ST, SUITE S507West Allis, WI 53214-3151
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004 · Fax (262) 654-6960
Phone(414) 727-2789
Fax(414) 476-8695
Organization SubpartNo
Authorized OfficialBrian A. WolfClinical Director · (262) 652-2406
Enumeration DateOctober 27, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1396821005 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 · 2365
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1126 S 70TH ST, West Allis, WI 53214
Open in Google Maps ↗

Other Identifiers 2

Medicaid42235000WI
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

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 52D2121918

Professional Services Group - West Allis · West Allis, WI
Active · expires Nov 15, 2026
CLIA Number52D2121918
Laboratory TypeMental Hlth Clinic Aoda
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDr. Jonathon Grapengieser
Laboratory Phone(414) 475-2788
Laboratory LocationProfessional Services Group - West Allis1205 S 70th Street Suite 401, West Allis, WI 53214
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MRS. VICKI LYNN CRABTREE MA/CCC SLP
Speech-Language Pathologist
1126 S 70TH ST, 1075 OCONOBANKS DR.
WEST ALLIS, WI 53214
Milwaukee County (414) 456-3221
MRS. CHERYL LYNN HOFFREN MS, CCC-SLP
Speech-Language Pathologist
1126 S 70TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 456-2331
MRS. MARY T KRUSE O.T.
Occupational Therapist (Neurorehabilitation)
1126 S 70TH ST, SUITE S305B
WEST ALLIS, WI 53214
Milwaukee County (414) 456-2330
MR. DANIEL JAMES CRESCO PT
Physical Therapist
1126 S 70TH ST, SUITE S305B
WEST ALLIS, WI 53214
Milwaukee County (414) 456-2332
JANET LUANN FULLMER PT
Physical Therapist
1126 S 70TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 456-2331
AMY ANN KUHAGEN LCSW
Social Worker (Clinical)
1126 S 70TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 475-2788
WHEATON FRANCISCAN REHABILITATION SERVICES
Clinic/Center (Physical Therapy)
1126 S 70TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 456-2331
MRS. DONNA M. GIFFORD O.T.R.
Occupational Therapist
1126 S 70TH ST, SUITE SOUTH. 308B
WEST ALLIS, WI 53214
Milwaukee County (414) 456-2331

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 1396821005. 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 1126 S 70th St Suite S507, West Allis, WI 53214. The listed phone number is (414) 727-2789.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2121918) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.