Organization Active NPI

Children's Behavioral Health Services, LLP

  • Community/Behavioral Health Agency
  • Kenosha, WI
National Provider Identifier
1326217233
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8137-125 Issued in WI
Legal business name
CHILDREN'S BEHAVIORAL HEALTH SERVICES, LLP
Practice address
6021 56TH Ave
Suite 4
Kenosha, WI 53142-3087
Phone
(262) 657-5026
Fax
(262) 657-5663
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Ms. Theresa Ailene Bruner-Leydens, MS.EDNPI 1447581715
Title
Partner/Licensed Professional Couns
Phone
(262) 657-5026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3146-125 WI
Community/Behavioral Health Agency 251S00000X 8137-125 WI Primary

Addresses

Primary practice location

6021 56TH Ave
Suite 4
Kenosha, WI 53142-3087

Mailing address

6021 56TH Ave Ste 4
Kenosha, WI 53142-3087
Phone (262) 657-5026

National Provider Directory

National Provider Directory

Locations

6021 56th Ave
Ste 4
Kenosha, WI 53142
Phone (262) 657-5026

Practitioners & affiliated clinicians

Practitioners 1

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1326217233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 56TH AVE STE 4",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423087",
            "telephone_number": "262-657-5026",
            "fax_number": "262-657-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 56TH AVE",
            "address_2": "SUITE 4",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423087",
            "telephone_number": "262-657-5026",
            "fax_number": "262-657-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S BEHAVIORAL HEALTH SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BRUNER-LEYDENS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "AILENE",
        "authorized_official_title_or_position": "PARTNER/LICENSED PROFESSIONAL COUNS",
        "authorized_official_telephone_number": "262-657-5026",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3146-125",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "8137-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.