NPIMap

Organization Active NPI

Northwest Counseling & Guidance Clinic

Doing business as Northwest Journey - Prescott

  • Adolescent and Children Mental Health Clinic/Center
  • Prescott, WI
National Provider Identifier
1093564353
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NORTHWEST COUNSELING & GUIDANCE CLINIC
Doing business as
Northwest Journey - Prescott
Practice address
125 Elm St N
Prescott, WI 54021-1717
Phone
(715) 309-4255
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST COUNSELING & GUIDANCE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Jackie Maurer
Title
Office Supervisor
Phone
(715) 349-7069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

125 Elm St N
Prescott, WI 54021-1717

Mailing address

PO Box 309
Siren, WI 54872-0309
Phone (715) 349-7069

Other names 1

  • Northwest Journey - Prescott Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest CNSL Guid22 organizations share this tax ID, including this one
Part of
Northwest CNSL Guid

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

16092 US Highway 63
Hayward, WI 54843

125 Elm St N
Prescott, WI 54021
Phone (715) 309-4255

69 N 28th St E
Ste 28
Superior, WI 54880

110 24th St S
Wisconsin Rapids, WI 54494
Phone (715) 323-3199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1093564353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548720309",
            "telephone_number": "715-349-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ELM ST N",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540211717",
            "telephone_number": "715-309-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING & GUIDANCE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COUNSELING & GUIDANCE CLINIC",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "715-349-7069"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Journey - Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.