NPIMap

Organization Active NPI

Northwood Children'S Services, Inc.

  • Counselor
  • Duluth, MN
National Provider Identifier
1508922386
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
NORTHWOOD CHILDREN'S SERVICES, INC.
Practice address
1131 N 11TH Ave E
Duluth, MN 55805-1517
Phone
(218) 724-7953
Fax
(218) 628-1347
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization
NORTHWOOD CHILDREN'S HOME SOCIETY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Ms. Melissa Winkler, LICSW
Title
Director of Quality Assurance
Phone
(218) 625-2638

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

1131 N 11TH Ave E
Duluth, MN 55805-1517

Mailing address

1131 N 11TH Ave E
Duluth, MN 55805-1517
Phone (218) 724-7953

Other identifiers 2

IdentifierTypeStateIssuer
8457171OtherMEDICA
5A44NOOtherBCBS

Other names 2

  • Northwood Children's Services Doing business as
  • Peace House Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwood Children'S Home Society Inc9 organizations share this tax ID, including this one
Part of
Northwood Children'S Home Society Inc

Other organizations with this tax ID 8

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

Locations

1131 N 11th Ave E
Duluth, MN 55805
Phone (218) 724-7953

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1508922386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N 11TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051517",
            "telephone_number": "218-724-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N 11TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051517",
            "telephone_number": "218-724-7953",
            "fax_number": "218-628-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWOOD CHILDREN'S HOME SOCIETY, INC",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "218-625-2638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8457171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5A44NO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood Children's Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peace House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.