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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, 2006
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: August 23, 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 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
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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 ›

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.

JESSICA MARTZAHL LPC
Counselor (Professional)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
MACKENZIE DODGE APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
LAUREN WUENSTEL LCSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
COURTNEY JEAN NIELSEN APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
CASEY NICOLE GITTENS
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DAVID HOUGHTON MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
ZACHARY ALAN WEIS MS
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JASON HAJDUK
Counselor
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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.