ADDICTION SERVICES AND PHARMACOTHERAPY, SC
NPI 1538820790
Clinic/Center - Methadone in Kenosha, WI

Active since January 09, 2022CLIA 52D2248676 · Waiver
3825 39TH AVE SUITE 120, KENOSHA, WI 53144(262) 946-5752(262) 946-5765 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Addiction Services And Pharmacotherapy, Sc NPPES

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

ADDICTION SERVICES AND PHARMACOTHERAPY, SC (NPI 1538820790) is a healthcare organization registered as a methadone in Kenosha, Wisconsin and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Christopher P Harkin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538820790
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameADDICTION SERVICES AND PHARMACOTHERAPY, SC
Location Address3825 39TH AVE SUITE 120Kenosha, WI 53144
Mailing Address3825 39th Ave Suite 120Kenosha, WI 53144 · (262) 946-5752 · Fax (262) 946-5765
Fax(262) 946-5765
Organization SubpartNo
Authorized OfficialChristopher P HarkinMedical Director · (262) 946-5752
Enumeration DateJanuary 9, 2022
NPPES CertifiedJanuary 9, 2022
✔ NPI 1538820790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
3825 39TH AVE SUITE 120, Kenosha, WI 53144

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)

Addiction Services And Pharmacotherapy, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Addiction Services And Pharmacotherapy, Sc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Emergency Medicine
NPI 1356333991
34555 N RED OAK LN
Gurnee, IL 60031
(847) 244-0678
✔ PECOS✔ Accepts Medicare17 mi
Anesthesiology
NPI 1669425302
HOSPITAL BASED @ FROEDTERT HOSP. 9200 WEST WISCONSIN AVENUE
Milwaukee, WI 53226
(414) 805-3666
✔ PECOS✔ Accepts Medicare32 mi
Clinical Social Worker
NPI 1669715264
1035 W GLEN OAKS LN STE 110
Mequon, WI 53092
(262) 999-3495
✔ PECOS44 mi
Psychiatry
NPI 1609031590
4509 ARTHUR RD
Slinger, WI 53086
(608) 320-9539
✔ PECOS✔ Accepts Medicare55 mi
Family Practice
NPI 1891855318
3200 E RACINE ST
Janesville, WI 53546
(608) 371-8000
✔ PECOS✔ Accepts Medicare57 mi
Family Practice
NPI 1396824488
1821 S STOUGHTON RD
Madison, WI 53716
(608) 260-6000
✔ PECOS✔ Accepts Medicare81 mi
Family Practice
NPI 1790976520
321 BUTTS AVE
Tomah, WI 54660
(608) 372-2181
✔ PECOS✔ Accepts Medicare165 mi

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

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 52D2248676

Addiction Services And Pharmacotherapy - Kenosha · Kenosha, WI
Active · expires Jan 13, 2028
CLIA Number52D2248676
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorDr. Vernon S. Partello
Laboratory Phone(262) 946-5752
Laboratory LocationAddiction Services And Pharmacotherapy - Kenosha3825 39th St Ste 120, Kenosha, WI 53144
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Addiction Services And Pharmacotherapy, Sc's NPI number?

The NPI number for Addiction Services And Pharmacotherapy, Sc is 1538820790. It was assigned to this organization in the NPPES registry on January 9, 2022.

Where is Addiction Services And Pharmacotherapy, Sc located?

Addiction Services And Pharmacotherapy, Sc is located at 3825 39th Ave Suite 120, Kenosha, WI 53144. The listed phone number is (262) 946-5752.

What is Addiction Services And Pharmacotherapy, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Is Addiction Services And Pharmacotherapy, Sc enrolled in Medicare?

Yes. Addiction Services And Pharmacotherapy, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Addiction Services And Pharmacotherapy, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Addiction Services And Pharmacotherapy, Sc. 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 Family Practice (3), Anesthesiology (1) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Addiction Services And Pharmacotherapy, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2248676) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Addiction Services And Pharmacotherapy, Sc accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health and 2 other insurers list Addiction Services And Pharmacotherapy, Sc 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 Addiction Services And Pharmacotherapy, Sc was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.