NPIMap

Organization Active NPI

Northwest Journey - Waupaca County

  • Adolescent and Children Mental Health Clinic/Center
  • Weyauwega, WI
National Provider Identifier
1689983157
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2922 Issued in WI
Legal business name
NORTHWEST JOURNEY - WAUPACA COUNTY
Practice address
310 E Main St
Weyauwega, WI 54983-8938
Phone
(715) 867-4744
Fax
(920) 867-4213
NPI assigned
Oct 1, 2010
Organization subpart
Yes
Parent organization
NORTHWEST COUNSELING AND GUIDANCE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Nick Kalambokisis
Title
Cfo
Phone
(715) 327-4322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2922 WI Primary

Addresses

Primary practice location

310 E Main St
Weyauwega, WI 54983-8938

Mailing address

310 E Main St
Weyauwega, WI 54983-8938
Phone (715) 867-4744

National Provider Directory

National Provider Directory
Tax ID family
Northwest Counseling Center22 organizations share this tax ID, including this one
Part of
Northwest Counseling Center

Other organizations with this tax ID 21

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

View all 21

Locations

310 E Main St
Weyauwega, WI 54983
Phone (715) 867-4744

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1689983157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E MAIN ST",
            "city": "WEYAUWEGA",
            "state": "WI",
            "postal_code": "549838938",
            "telephone_number": "715-867-4744",
            "fax_number": "920-867-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MAIN ST",
            "city": "WEYAUWEGA",
            "state": "WI",
            "postal_code": "549838938",
            "telephone_number": "715-867-4744",
            "fax_number": "920-867-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST JOURNEY - WAUPACA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COUNSELING AND GUIDANCE CLINIC",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "KALAMBOKISIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-327-4322"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "2922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weyauwega, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.