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

Kenosha Community Health Center, Inc

Organization Counselor · NPI 1265435960

Kenosha Community Health Center, Inc is a Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4536 22nd Ave
Kenosha, WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X · Licence NONE (WI)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Dentist Taxonomy 122300000X
Family Medicine Physician Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
General Practice Physician Taxonomy 208D00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1265435960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ouimet — Ceo · (262) 771-3561
NPI enumeratedMay 27, 2005
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address4006 Washington Rd, Kenosha, WI 53144-4819

Other providers in Kenosha