NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Milwaukee Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1285617670
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
1132 Issued in WI
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC
Practice address
2021 N 60TH St
Milwaukee, WI 53208-1641
Phone
(414) 771-2881
Fax
(414) 771-6095
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 JacobsenNPI 1144559717
Title
Senior Program Director
Phone
(414) 769-3415

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1132 WI Primary

Addresses

Primary practice location

2021 N 60TH St
Milwaukee, WI 53208-1641

Mailing address

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

Other practice location 1

107 W Walworth St
Elkhorn, WI 53121-1717
Phone (262) 637-8888

Other practice location 2

191 S Main St
Fond Du Lac, WI 54935-4292
Phone (920) 458-5726

Other practice location 3

38 Sell Dr
Hartford, WI 53027-2601
Phone (262) 547-2463

Other practice location 4

1519 E Washington St # B
West Bend, WI 53095-2615
Phone (262) 547-2463

Other practice location 5

7117 14th Ave
Kenosha, WI 53143-5447
Phone (262) 637-8888

Other identifiers 1

IdentifierTypeStateIssuer
42162300MedicaidWI

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
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

107 W Walworth St
Elkhorn, WI 53121
Phone (262) 637-8888

191 S Main St
Fond du Lac, WI 54935
Phone (920) 458-5726

38 Sell Dr
Hartford, WI 53027
Phone (262) 547-2463

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

2021 N 60th St
Milwaukee, WI 53208
Phone (414) 771-2881

Practitioners & affiliated clinicians

Practitioners 10

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

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": "1285617670",
    "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": "2021 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081641",
            "telephone_number": "414-771-2881",
            "fax_number": "414-771-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 W Walworth St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531211717",
            "country_code": "US",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354292",
            "country_code": "US",
            "telephone_number": "920-458-5726",
            "fax_number": "920-458-5826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Sell Dr",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "WI",
            "postal_code": "530272601",
            "country_code": "US",
            "telephone_number": "262-547-2463",
            "fax_number": "262-547-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 E Washington St # B",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530952615",
            "country_code": "US",
            "telephone_number": "262-547-2463",
            "fax_number": "262-547-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7117 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531435447",
            "country_code": "US",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "1132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42162300",
            "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 Milwaukee, 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.