Provider Type Icon

NORTHWEST COUNSELING & GUIDANCE CLINIC NPI 1295224657


NPI Information

NPI: 1295224657
Provider Name: NORTHWEST COUNSELING & GUIDANCE CLINIC

Doing Business As: NORTHWEST JOURNEY-GREEN BAY

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
123 S VAN BUREN
GREEN BAY, WI
ZIP 54301
Phone: (920) 336-8960
Get Directions

NORTHWEST COUNSELING & GUIDANCE CLINIC is an adolescent and children mental health clinic center in Green Bay, 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 1295224657. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Journey-green Bay.

The provider's business location address is:

123 S VAN BUREN
GREEN BAY, WI
ZIP 54301-441
Phone: (920) 336-8960

The provider's authorized official is Jackie Maurer .
The authorized official title is Office Supervisor and has the following contact phone number (715) 349-7069.

The enumeration date for this NPI number is 5/1/2018 and was last updated on 5/1/2018.


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 Health3197WISCONSINYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.