Organization Active NPI

Northwest Counseling Services, S.C.

  • Counselor
  • New Richmond, WI
National Provider Identifier
1336298553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1702 Issued in WI
Legal business name
NORTHWEST COUNSELING SERVICES, S.C.
Practice address
240 Wisconsin Dr Ste 104
Suite 104
New Richmond, WI 54017-2611
Phone
(715) 246-7777
Fax
(715) 246-7775
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Peggy AudleyNPI 1396747150
Title
Clinical Director
Phone
(715) 246-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1702 WI Primary

Addresses

Primary practice location

240 Wisconsin Dr Ste 104
Suite 104
New Richmond, WI 54017-2611

Mailing address

PO Box 87
240 Wisconsin Drive, Suite 104
New Richmond, WI 54017-0087
Phone (715) 246-7777

National Provider Directory

National Provider Directory

Locations

240 Wisconsin Dr
#104
New Richmond, WI 54017
Phone (715) 246-7777

240 Wisconsin Dr
Ste 104
New Richmond, WI 54017
Phone (715) 246-7777

Practitioners & affiliated clinicians

Practitioners 6

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "address_2": "240 WISCONSIN DRIVE, SUITE 104",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540170087",
            "telephone_number": "715-246-7777",
            "fax_number": "715-246-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WISCONSIN DR STE 104",
            "address_2": "SUITE 104",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172611",
            "telephone_number": "715-246-7777",
            "fax_number": "715-246-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUDLEY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "715-246-7777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.