Organization Active NPI

Kenneth Ginlack Sr Consulting Services LLC

Doing business as Kenneth Ginlack Sr. Consulting & Training Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1891359576
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KENNETH GINLACK SR CONSULTING SERVICES LLC
Doing business as
Kenneth Ginlack Sr. Consulting & Training Center LLC
Practice address
3927 S Howell Ave Ste 102
Milwaukee, WI 53207-4421
Phone
(414) 600-4823
NPI assigned
Apr 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Authorized official

Name
Mr. Kenneth Ginlack Sr., LCSW,CSAC,ICS
Title
Ceo/Director
Phone
(414) 236-0083

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3927 S Howell Ave Ste 102
Milwaukee, WI 53207-4421

Mailing address

3927 S Howell Ave Ste 102
Milwaukee, WI 53207-4421
Phone (414) 600-4823

Other names 1

  • Kenneth Ginlack Sr. Consulting & Training Center LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@kgsctc.com Direct

National Provider Directory

National Provider Directory

Locations

1862 W Fond du Lac Ave
Milwaukee, WI 53205
Phone (262) 461-8744

1862 W Fond du Lac Ave
Ste 4
Milwaukee, WI 53205
Phone (414) 930-9050

3927 S Howell Ave
Ste 102
Milwaukee, WI 53207
Phone (414) 600-4823

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556323200000",
    "number": "1891359576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 S HOWELL AVE STE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074421",
            "telephone_number": "414-600-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 S HOWELL AVE STE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074421",
            "telephone_number": "414-600-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH GINLACK SR CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-04-27",
        "status": "A",
        "authorized_official_last_name": "GINLACK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "414-236-0083",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW,CSAC,ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kgsctc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3927 S Howell Ave Ste 102",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532074421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kenneth Ginlack Sr. Consulting & Training Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.