Active NPI
David Klimisch LPC Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
National Provider Identifier
1790328763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- DAVID KLIMISCH LPC INC
- Practice address
- 6123 Green Bay Rd Ste 240
Kenosha, WI 53142-2927 - Phone
- (262) 261-6998
- Fax
- (262) 748-1407
- NPI assigned
- Oct 23, 2019
- 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
- David J. Klimisch, LPC
- Title
- President
- Phone
- (262) 261-6998
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
6123 Green Bay Rd Ste 240
Kenosha, WI 53142-2927
Mailing address
6123 Green Bay Rd Ste 240
Kenosha, WI 53142-2927
Phone (262) 564-5305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427544337 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Kenosha, WI
- NPI 1427544337
-
- Professional Counselor
- Kenosha, WI
- NPI 1033637525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1790328763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6123 GREEN BAY RD STE 240",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531422927",
"telephone_number": "262-564-5305",
"fax_number": "262-564-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6123 GREEN BAY RD STE 240",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531422927",
"telephone_number": "262-261-6998",
"fax_number": "262-748-1407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID KLIMISCH LPC INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "KLIMISCH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-261-6998",
"authorized_official_credential": "LPC"
},
"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": "1427544337",
"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 Nov 6, 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.