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NORTHWEST COUNSELING & GUIDANCE CLINIC NPI 1275650350


NPI Information

NPI: 1275650350
Provider Name: NORTHWEST COUNSELING & GUIDANCE CLINIC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
5655 N. 28TH AVE
WAUSAU, WI
ZIP 54401
Phone: (715) 675-5454
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NORTHWEST COUNSELING & GUIDANCE CLINIC is an adolescent and children mental health clinic center in Wausau, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NORTHWEST COUNSELING & GUIDANCE CLINIC NPI is 1275650350. The provider is registered as an organization entity type.

The provider's business location address is:

5655 N. 28TH AVE
WAUSAU, WI
ZIP 54401-709
Phone: (715) 675-5454
Fax: (715) 675-0545

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

The enumeration date for this NPI number is 3/23/2007 and was last updated on 11/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health2404WISCONSINNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthWISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
185575OTHERMINNESOTAPREFERRED ONE
242626OTHERMINNESOTAHEALTH PARTNERS
343007000MEDICAIDWISCONSIN
44300700MEDICAIDWISCONSIN

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: 11/14/2023

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