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

Professional Services Group

Organization Community/Behavioral Health Agency · NPI 1861504813

Professional Services Group is a Community/Behavioral Health Agency in Kenosha, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

2108 63rd St
Kenosha, WI 53143-4454
Phone: (262) 652-2406
Fax: (262) 652-2408
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1861504813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Grapengieser — Clinical Director · (262) 654-1004
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address6233 39th Ave, Kenosha, WI 53142-7015

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