NPIMap

Organization Active NPI

Northwest Counseling and Guidance Clinic

Doing business as Northwest Journey - River Falls

  • Adolescent and Children Mental Health Clinic/Center
  • River Falls, WI
National Provider Identifier
1104145416
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2909 Issued in WI
Legal business name
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Doing business as
Northwest Journey - River Falls
Practice address
2860 Williams Ave
River Falls, WI 54022-4898
Phone
(715) 425-5110
Fax
(715) 425-5120
NPI assigned
May 26, 2010
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST COUNSELING AND GUIDANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Mr. Nick Kalambokidis
Title
Cfo
Phone
(715) 327-4402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2909 WI Primary

Addresses

Primary practice location

2860 Williams Ave
River Falls, WI 54022-4898

Mailing address

2860 Williams Ave
River Falls, WI 54022-4898
Phone (715) 425-5110

Other names 1

  • Northwest Journey - River Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Counseling Center22 organizations share this tax ID, including this one
Part of
Northwest Counseling Center

Other organizations with this tax ID 21

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

View all 21

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1104145416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 WILLIAMS AVE",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540224898",
            "telephone_number": "715-425-5110",
            "fax_number": "715-425-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 WILLIAMS AVE",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540224898",
            "telephone_number": "715-425-5110",
            "fax_number": "715-425-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING AND GUIDANCE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COUNSELING AND GUIDANCE",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "KALAMBOKIDIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-327-4402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "2909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Journey - River Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.