NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Milwaukee Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sheboygan, WI
National Provider Identifier
1013990407
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1133 Issued in WI
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC
Practice address
522 New York Ave
Sheboygan, WI 53081-4126
Phone
(920) 458-5727
Fax
(920) 458-5826
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carey Jacobsen
Title
Senior Program Director
Phone
(414) 769-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1133 WI Primary

Addresses

Primary practice location

522 New York Ave
Sheboygan, WI 53081-4126

Mailing address

3501 S Lake Dr
St Francis, WI 53235-0900
Phone (414) 769-3400

Other identifiers 1

IdentifierTypeStateIssuer
42128600MedicaidWI

Other names 1

  • Catholic Social Services of The Archdiocese of Milwaukee Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000271 WI Part B Supplier - Clinic/Group Practice 5496745242 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milwaukee, WI; Racine, WI; Sheboygan, WI; Waukesha, WI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of Milwaukee Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7117 14th Ave
Kenosha, WI 53143
Phone (262) 637-8888

800 Wisconsin Ave
Racine, WI 53403
Phone (262) 637-8888

522 New York Ave
Sheboygan, WI 53081
Phone (920) 458-5726

503 Wisconsin Ave
Sheboygan, WI 53081
Phone (920) 458-5726

3501 S Lake Dr
St Francis, WI 53235
Phone (414) 294-4900

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1013990407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S LAKE DR",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532350900",
            "telephone_number": "414-769-3400",
            "fax_number": "262-637-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 NEW YORK AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814126",
            "telephone_number": "920-458-5727",
            "fax_number": "920-458-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "SENIOR PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "414-769-3415"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42128600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Social Services of The Archdiocese of Milwaukee Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.