Ignite Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IGNITE PSYCHOTHERAPY SERVICES LLC

Doing business as

Ignite Psychotherapy Services

Practice address

5455 Sheridan Rd Ste LL10
Kenosha, WI 53140-3752

Phone

(262) 909-0356

Fax

(262) 551-3911

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Lindenbaum, LCSWNPI 1619422771

Title

Owner

Phone

(262) 909-0356

Specialties & licenses 1

Addresses

Other names 1

• Ignite Psychotherapy Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Lindenbaum

  • Clinical Social Worker
  • Kenosha, WI
  • NPI 1619422771
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1265027221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 SHERIDAN RD STE LL10",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403752",
            "telephone_number": "262-909-0356",
            "fax_number": "262-551-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 SHERIDAN RD STE LL10",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403752",
            "telephone_number": "262-909-0356",
            "fax_number": "262-551-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "LINDENBAUM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-909-0356",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://ignitepsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5455 Sheridan Rd Ste Ll10",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531403752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ignite Psychotherapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ignite Psychotherapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan A. Hyman, M.D.
• Anne Elizabeth Hysaw, LCSW
• Inna Ialama
• Ids
• Altamash Tariq Iftikhar, D.O.
• Ihc Hospitalists LLC
• Ihc-Kenosha Radiology, LLC
• Ihc-SNF LLC
• Ihc-Wound Care Services LLC
• Illinois Bone and Joint Institute, LLC

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.