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 1992171987

Children's Medical Group is a Mental Health Counselor in West Bend, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
9
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Practice location Address checks out

611 Veterans Ave Ste 106
West Bend, WI 53090-2545
Phone: (262) 353-4460
Fax: (262) 353-4461
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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
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1992171987
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 West Bend Pediatrics
NPI enumeratedAugust 13, 2015
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874

Other providers in West Bend