NPIMap

Organization Active NPI

Integrated Mental Health Service, S.C.

  • Clinical Social Worker
  • Marinette, WI
National Provider Identifier
1649311655
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6159 Issued in WI
Legal business name
INTEGRATED MENTAL HEALTH SERVICE, S.C.
Practice address
1602 Main St
Marinette, WI 54143-1806
Phone
(715) 735-9536
NPI assigned
Feb 11, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Katrin Jensen
Title
Office Manager
Phone
(715) 735-9536

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6159 WI Primary
Neurology Physician 2084N0400X 35255-020 WI
Psychiatry Physician 2084P0800X 32903 WI
Psychiatry Physician 2084P0800X 35255-020 WI

Addresses

Primary practice location

1602 Main St
Marinette, WI 54143-1806

Mailing address

PO Box 1197
Marinette, WI 54143-6197
Phone (715) 735-9536

National Provider Directory

National Provider Directory

Locations

1602 Main St
Marinette, WI 54143
Phone (715) 735-9536

Practitioners & affiliated clinicians

Practitioners 2

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": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649311655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1197",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541436197",
            "telephone_number": "715-735-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 MAIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431806",
            "telephone_number": "715-735-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MENTAL HEALTH SERVICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KATRIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-735-9536"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6159",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "35255-020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "32903",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "35255-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.