STATELINE MENTAL HEALTH SERVICES
NPI 1538560255
Clinic/Center - Mental Health (Including Community Mental Health Center) in Beloit, WI

Active since September 12, 2014
540 E GRAND AVE, BELOIT, WI 53511(608) 368-8087 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 21, 2025, Feb 6, 2025, Mar 14, 2017 (3 updates tracked since 2017).

About Stateline Mental Health Services NPPES

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

STATELINE MENTAL HEALTH SERVICES (NPI 1538560255) is a healthcare organization registered as a mental health (including community mental health center) in Beloit, Wisconsin and active in the NPI registry since September 2014. The organization maintains a secondary practice location in South Beloit and lists Stephanie Knueppel, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1538560255
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTATELINE MENTAL HEALTH SERVICES
Location Address540 E GRAND AVEBeloit, WI 53511-6314
Mailing Address2745 Fawn CtBeloit, WI 53511-1973
Organization SubpartNo
Authorized OfficialStephanie KnueppelPsychotherapist · (608) 217-7264
Enumeration DateSeptember 12, 2014
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1538560255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
540 E GRAND AVE, Beloit, WI 53511

Secondary Practice Location 1

Location 11411 Pate Plaza DrSouth Beloit, IL 61080-1431 · Phone (608) 368-8087 · Fax (608) 312-2061

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stateline Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Stateline Mental Health Services, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Clinical Social Worker22
Mental Health Counselor9
Nurse Practitioner2
Marriage and Family Therapist1

Nearest to this location (20)

See all 34
Clinical Social Worker
NPI 1538792387
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1629860754
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821817651
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1396413944
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1871219345
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOSSame address
Clinical Social Worker
NPI 1215540547
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOSSame address
Mental Health Counselor
NPI 1952172272
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1831950286
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1316714223
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1821757642
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1558215384
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOSSame address
Nurse Practitioner
NPI 1043451990
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1417804584
540 E GRAND AVE
Beloit, WI 53511
(608) 289-1505
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1790565141
416 COLLEGE ST
Beloit, WI 53511
(608) 365-1244
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1811177991
400 E GRAND AVE STE 308
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1982055463
400 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS0.2 mi
Mental Health Counselor
NPI 1821510595
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1568853091
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1750193835
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts Medicare0.6 mi
Mental Health Counselor
NPI 1891546719
540 E GRAND AVE
Beloit, WI 53511
(608) 368-8087
✔ PECOS✔ Accepts Medicare0.6 mi
See all 34 clinicians

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 Stateline Mental Health Services's NPI number?

The NPI number for Stateline Mental Health Services is 1538560255. It was assigned to this organization in the NPPES registry on September 12, 2014.

Where is Stateline Mental Health Services located?

Stateline Mental Health Services is located at 540 E Grand Ave, Beloit, WI 53511. The listed phone number is (608) 368-8087.

What is Stateline Mental Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Stateline Mental Health Services enrolled in Medicare?

Yes. Stateline Mental Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stateline Mental Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 4 Medicare specialties reassign their Medicare billing to Stateline Mental Health Services. 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. The largest specialties are Clinical Social Worker (22), Mental Health Counselor (9) and Nurse Practitioner (2). Of these, 13 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stateline Mental Health Services accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, MercyCare Health Plans and Quartz list Stateline Mental Health Services 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 Stateline Mental Health Services was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.