Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Children's Medical Group

Organization Mental Health Counselor · NPI 1457662074

Children's Medical Group is a Mental Health Counselor in Pewaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
Specialties on file
10
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Practice location Address checks out

1215 George Towne Dr
Pewaukee, WI 53072-2731
Phone: (262) 691-3849
Fax: (262) 691-4287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Pediatrics Physician Taxonomy 208000000X · Licence 5826-800 (WI)
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1457662074
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Medical Group
Authorized official Smriti Khare — President, Children'S Medical Group · (414) 266-7615
Other names Pewaukee Pediatrics; Pewaukee Pediatrics
NPI enumeratedJune 29, 2010
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874

Other providers in Pewaukee