Active NPI
Longevity Community Services Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Whitefish Bay, WI
National Provider Identifier
1083568570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LONGEVITY COMMUNITY SERVICES INC
- Practice address
- 121 E Silver Spring Dr Ste 202
Whitefish Bay, WI 53217-4762 - Phone
- (262) 292-1018
- NPI assigned
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Muhammad, LPC
- Title
- Founder
- Phone
- (262) 292-1018
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
121 E Silver Spring Dr Ste 202
Whitefish Bay, WI 53217-4762
Mailing address
121 E Silver Spring Dr Ste 202
Whitefish Bay, WI 53217-4762
Phone (262) 292-1018
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Whitefish Bay, WI
- NPI 1922496066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1083568570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E SILVER SPRING DR STE 202",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532174762",
"telephone_number": "262-292-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E SILVER SPRING DR STE 202",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532174762",
"telephone_number": "262-292-1018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGEVITY COMMUNITY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "MUHAMMAD",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "262-292-1018",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitefish Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.