NPIMap

Organization Active NPI

Northland Counseling Services LTD

  • Community/Behavioral Health Agency
  • Hayward, WI
National Provider Identifier
1659544849
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHLAND COUNSELING SERVICES LTD
Practice address
10752 Beal Ave
Hayward, WI 54843-6435
Phone
(715) 634-2522
Fax
(715) 634-2533
NPI assigned
Apr 8, 2008
Organization subpart
Yes
Parent organization
NORTHLAND COUNSELING SERVICES LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Caitlan M Myren, MSW, LCSWNPI 1730957135
Title
President
Phone
(715) 634-0222

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
Community/Behavioral Health Agency 251S00000X Primary

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 1

IdentifierTypeStateIssuer
100294257MedicaidWI

Other names 1

  • Northland Community Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Northland Coun SRVS LTD3 organizations share this tax ID, including this one
Part of
Northland Coun SRVS LTD

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1659544849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1062",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548431062",
            "telephone_number": "715-634-2522",
            "fax_number": "715-634-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 BEAL AVE",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436435",
            "telephone_number": "715-634-2522",
            "fax_number": "715-634-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND COUNSELING SERVICES LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND COUNSELING SERVICES LTD",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "MYREN",
        "authorized_official_first_name": "CAITLAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-634-0222",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100294257",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Community Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 20, 2025; 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.