NPIMap

Organization Active NPI

Inspiring Minds - Pediatric Autism Consultation and Therapy, LLC

  • Behavior Analyst
  • Sheboygan, WI
National Provider Identifier
1609412667
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INSPIRING MINDS - PEDIATRIC AUTISM CONSULTATION AND THERAPY, LLC
Practice address
2125 S Business Dr
Sheboygan, WI 53081-5656
Phone
(920) 395-2105
Fax
(920) 395-1666
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Chasidy Dawn Wilke, BCBA
Title
Owner / Clinic Director
Phone
(715) 966-5216

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2125 S Business Dr
Sheboygan, WI 53081-5656

Mailing address

2125 S Business Dr
Sheboygan, WI 53081-5656
Phone (920) 395-2105

Other names 1

  • IMPACT, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2125 S Business Dr
Sheboygan, WI 53081
Phone (715) 966-5216

Practitioners & affiliated clinicians

Practitioners 4

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1609412667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S BUSINESS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530815656",
            "telephone_number": "920-395-2105",
            "fax_number": "920-395-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S BUSINESS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530815656",
            "telephone_number": "920-395-2105",
            "fax_number": "920-395-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING MINDS - PEDIATRIC AUTISM CONSULTATION AND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "CHASIDY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER / CLINIC DIRECTOR",
        "authorized_official_telephone_number": "715-966-5216",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPACT, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.