Organization Active NPI

Northwoods Behavioral Health Services, LLC.

  • Adult Mental Health Clinic/Center
  • Hayward, WI
National Provider Identifier
1356885339
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Dec 12, 2016

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-ATNPI 1760782619
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.