PROFESSIONAL SERVICES GROUP, INC.
NPI 1619024262
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kenosha, WI

Active since January 05, 2007
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406(262) 654-6960 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 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 1619024262) is a healthcare organization registered as a mental health (including community mental health center) in Kenosha, Wisconsin and active in the NPI registry since January 2007. The organization lists Jonathan Grapengieser, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1619024262
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROFESSIONAL SERVICES GROUP, INC.
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004 · Fax (262) 654-6960
Fax(262) 654-6960
Organization SubpartNo
Authorized OfficialJonathan GrapengieserClinical Director · (262) 654-1004
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1619024262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2108 63RD ST, Kenosha, WI 53143

Other Identifiers 1

Medicaid42125700WI

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)

Professional Services Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

72

Medicare enrollment records show 72 clinicians reassign Medicare billing to Professional Services Group, Inc., which bills Medicare for the services they deliver. Of these, 21 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Mental Health Counselor26
Clinical Social Worker24
Nurse Practitioner14
Clinical Psychologist8

Nearest to this location (20)

See all 72
Mental Health Counselor
NPI 1548965148
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Psychologist
NPI 1942936539
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1568058238
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1689255291
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Social Worker
NPI 1124752050
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Social Worker
NPI 1801327077
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Mental Health Counselor
NPI 1609648641
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Social Worker
NPI 1669943874
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1033685474
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Mental Health Counselor
NPI 1417484155
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Mental Health Counselor
NPI 1477133510
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Social Worker
NPI 1386834075
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Mental Health Counselor
NPI 1598434870
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1194322065
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1376120279
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Social Worker
NPI 1396284683
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Psychologist
NPI 1609982040
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Mental Health Counselor
NPI 1518447754
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Clinical Social Worker
NPI 1588850168
2108 63RD ST
Kenosha, WI 53143
(262) 652-2406
✔ PECOSSame address
Mental Health Counselor
NPI 1285334367
2108 63RD ST
Kenosha, WI 53143
(414) 475-2788
✔ PECOSSame address
See all 72 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 Professional Services Group, Inc.'s NPI number?

The NPI number for Professional Services Group, Inc. is 1619024262. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Professional Services Group, Inc. located?

Professional Services Group, Inc. is located at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.

What is Professional Services Group, Inc.'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 Professional Services Group, Inc. enrolled in Medicare?

Yes. Professional Services Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Services Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 72 clinicians in 4 Medicare specialties reassign their Medicare billing to Professional Services Group, Inc.. 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 Mental Health Counselor (26), Clinical Social Worker (24) and Nurse Practitioner (14). Of these, 21 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Professional Services Group, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and Security Health Plan 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 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.