NORTHWEST COUNSELING & GUIDANCE CLINIC NPI 1104990530

NPI Information

NPI: 1104990530
Provider Name: NORTHWEST COUNSELING & GUIDANCE CLINIC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
203 UNITED WAY DRIVE
FREDERIC, WI
ZIP 54837
Phone: (715) 327-4402
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NORTHWEST COUNSELING & GUIDANCE CLINIC is a mental health (including community mental health center) clinic center in Frederic, WI. NORTHWEST COUNSELING & GUIDANCE CLINIC NPI is 1104990530. The provider is registered as an organization entity type.

The provider's business location address is:

203 UNITED WAY DRIVE
FREDERIC, WI
ZIP 54837-938
Phone: (715) 327-4402
Fax: (715) 327-4470

The provider's authorized official is Jackie J Maurer .
The authorized official title is Business Office Supervisor and has the following contact phone number (715) 327-4322.

The enumeration date for this NPI number is 11/18/2006 and was last updated on 3/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	2254	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42626	OTHER	MINNESOTA	HEALTH PARTNERS
2	85575	OTHER	MINNESOTA	PREFERRED ONE
3	84510	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE
4	7H956NO	OTHER	MINNESOTA	BCBS OF MN
5	42214000	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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