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PROFESSIONAL SERVICES GROUP
NPI 1861504813
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kenosha, WI

Active since August 31, 2006CLIA Certified · 3 labs
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406(262) 652-2408 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Services Group NPPES

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

PROFESSIONAL SERVICES GROUP (NPI 1861504813) is a healthcare organization registered as a mental health (including community mental health center) in Kenosha, Wisconsin and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists Jonathan Grapengieser, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1861504813
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROFESSIONAL SERVICES GROUP
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004 · Fax (262) 654-6960
Phone(262) 652-2406
Fax(262) 652-2408
Organization SubpartNo
Authorized OfficialJonathan GrapengieserClinical Director · (262) 654-1004
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1861504813 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
Open in Google Maps ↗

Other Identifiers 2

Medicaid42125700WI
Other1749WI · Wi License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 52D2170024

Professional Services Group · Kenosha, WI
Active · expires Jul 30, 2027
CLIA Number52D2170024
Laboratory TypeMental Health Clinic/Aoda
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Leah Featherstone
Laboratory Phone(262) 652-2406
Laboratory LocationProfessional Services Group2108 63rd Street, Kenosha, WI 53143
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2170018

Professional Services Group · Racine, WI
Active · expires Jul 30, 2027
CLIA Number52D2170018
Laboratory TypeMental Health Clinic/ Aod
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Leah Featherstone
Laboratory Phone(262) 652-2406
Laboratory LocationProfessional Services Group2333 Northwestern Ave, Racine, WI 53404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2170019

Professional Services Group · Janesville, WI
Active · expires Jul 30, 2027
CLIA Number52D2170019
Laboratory TypeMental Health Clinic/ Aod
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Leah Featherstone
Laboratory Phone(262) 652-2406
Laboratory LocationProfessional Services Group1905 Center Ave Suite 5, Janesville, WI 53546
CLIA data matches this NPI record on: Name Phone
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.

BRIAN A WOLF PH.D.
Psychologist (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DAWN D DUNK MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JULIA GURSSLIN MSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
GALE ZICCARELLI MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
LINDA BESTOR PH.D.
Counselor (Professional)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DANIEL BARAN MA
Counselor (Addiction (Substance Use Disorder))
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JUDITH SAVEL BA
Counselor (Addiction (Substance Use Disorder))
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
KOREEN HOUGHTON MS
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406

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's NPI number?

The NPI number for Professional Services Group is 1861504813. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Professional Services Group located?

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

What is Professional Services Group'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.

Does Professional Services Group hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Professional Services Group accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and MercyCare Health Plans and 1 other insurer list Professional Services Group 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 was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.