Northland Counseling Services LTD
Organization Active NPI Counselor · Hayward, WI
NPI 1124246095 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1124246095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- NORTHLAND COUNSELING SERVICES LTD
- Practice address
- 10752 Beal Ave
Hayward, WI 54843-6435 - Phone
- (715) 634-0222
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Caitlan L Myren, MSW, LCSW
- Title
- President
- Phone
- (715) 634-0222
Corporate family (same tax ID) 2
Practitioners 18
-
Alexandra Bice, LPC
-
Lisa Marie Ludwig, LCSW
-
Caitlan Myren, MSW, LCSW
-
Howard V Patterson, MA, LCSW
-
Robin Pavelka, MS
-
Jennifer R Alward, MA MFT AT
-
Kelle L Boese, MS, LPC-IT
-
Cassidie Demarr, MS, LPC
-
Dennis J Vandermause, LCSW
-
Wesley Mark Wilson, LPC-IT
-
Nancy Jean Bergey, NURSE PRACTITIONER
-
Paul G Grahovac, MSSW, LCSW
-
Jill M Karlsson, PSYD
-
Jeremy R Koehl, MSSW, LCSW,CADCIII
-
James Brian Newman, MS, LCSW
-
Sarah L Olson, MA, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120702000156 | WI | Part B Supplier - Clinic/Group Practice | 0446415111 |
Receives reassigned benefits from 5 practitioners Practice locations: Ashland, WI; Eagle River, WI; Hayward, WI |
National Provider Directory
- Tax ID family
- Northland Coun SRVS LTD
Locations
10045 N State Road 27
Hayward, WI 54843
Phone (715) 634-0222
21 W Omaha St
Washburn, WI 54891
Phone (715) 373-0160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes | ||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
10752 Beal Ave
Hayward, WI 54843-6435
Mailing address
PO Box 1062
Hayward, WI 54843-1062
Phone (715) 634-2522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100294257 | Medicaid | WI |
Other providers in Hayward, WI
- Tyra Jo Newman
- Tommy D Nigbor
- North Country Sanctuary LLC
- Northern Lakes Cooperative
- Northernbridges
- Northland Counseling Services LTD
- Northwest Counseling & Guidance Clinic
- Northwoods Behavioral Health Services, LLC.
- Northwoods Chiropractic Inc.
- Northwoods Physical Therapy Clinic & Fitness Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.