Active NPI
Northwoods Behavioral Health Services, LLC.
- Adult Mental Health Clinic/Center
- Hayward, WI
National Provider Identifier
1356885339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- NORTHWOODS BEHAVIORAL HEALTH SERVICES, LLC.
- Practice address
- 15617 US Highway 63
Hayward, WI 54843-4244 - Phone
- (715) 634-4673
- Fax
- (715) 634-4675
- NPI assigned
- Dec 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Dean Cousins Sr., MSW, CSAC, IDP-AT
- Title
- Director - Therapist
- Phone
- (715) 634-4673
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
15617 US Highway 63
Hayward, WI 54843-4244
Mailing address
15617 US Highway 63
P.O. Box 800
Hayward, WI 54843-4244
Phone (715) 634-4673
National Provider Directory
National Provider DirectoryLocations
15617 US Highway 63
Hayward, WI 54843
Phone (715) 634-4673
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Hayward, WI
- NPI 1760782619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1356885339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15617 US HIGHWAY 63",
"address_2": "P.O. BOX 800",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548434244",
"telephone_number": "715-634-4673",
"fax_number": "715-634-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15617 US HIGHWAY 63",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548434244",
"telephone_number": "715-634-4673",
"fax_number": "715-634-4675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWOODS BEHAVIORAL HEALTH SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "COUSINS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "DIRECTOR - THERAPIST",
"authorized_official_telephone_number": "715-634-4673",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MSW, CSAC, IDP-AT"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, WI
- Northern Lakes Cooperative
- Northernbridges
- Northland Counseling Services LTD
- Northland Counseling Services LTD
- Northwest Counseling & Guidance Clinic
- Northwoods Chiropractic Inc.
- Northwoods Physical Therapy Clinic & Fitness Center Inc
- Dorothy Agnes Novak, M.D.
- NSH Valley of Hayward LLC
- Sarah L Olson, MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.