Active NPI
Interconnections, SC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
National Provider Identifier
1336214543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- INTERCONNECTIONS, SC
- Practice address
- 920 60TH St
Kenosha, WI 53140-4041 - Phone
- (262) 654-5333
- Fax
- (262) 654-7818
- NPI assigned
- Nov 22, 2006
- 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
- Sarah Nichols, LCSW
- Title
- Director
- Phone
- (262) 654-5333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
920 60TH St
Kenosha, WI 53140-4041
Mailing address
920 60TH St
Kenosha, WI 53140-4041
Phone (262) 654-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42133400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
920 60th St
Kenosha, WI 53140
Phone (262) 654-5333
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kenosha, WI
- NPI 1447206511
WI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1336214543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 60TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404041",
"telephone_number": "262-654-5333",
"fax_number": "262-654-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 60TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404041",
"telephone_number": "262-654-5333",
"fax_number": "262-654-7818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERCONNECTIONS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "262-654-5333",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42133400",
"state": "WI"
}
],
"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 Jun 24, 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.