Organization Active NPI

CH MH Services (Wi), LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1215649314
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CH MH SERVICES (WI), LLC
Practice address
4602 S Biltmore LN Ste 114
Madison, WI 53718-2155
Phone
(986) 206-0414
NPI assigned
Dec 20, 2022
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Charie Bryant
Title
VP, RCM
Phone
(803) 955-6655

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4602 S Biltmore LN Ste 114
Madison, WI 53718-2155

Mailing address

169 Madison Ave Ste 15011
New York, NY 10016-5101
Phone (406) 361-3146

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email

National Provider Directory

National Provider Directory
Tax ID family
CH MH Services Ny LLC50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

Locations

4602 S Biltmore Ln
Ste 114
Madison, WI 53718

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1215649314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "406-361-3146",
            "fax_number": "406-794-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 S BILTMORE LN STE 114",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182155",
            "telephone_number": "986-206-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH MH SERVICES (WI), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHARIE",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "803-955-6655"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "4602 S Biltmore Ln Ste 114",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537182155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.