Northwest Treatment Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180000371 Issued in IL

Legal business name

NORTHWEST TREATMENT ASSOCIATES

Practice address

1185 Dundee Ave Ste E1
Elgin, IL 60120-2233

Phone

(847) 608-8570

Fax

(847) 608-8572

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Ann Fetzner, MS, NCC, LCPCNPI 1871626481

Title

Executive Director

Phone

(815) 337-1234

Specialties & licenses 1

Addresses

Tax ID family

Northwest Treatment Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northwest Treatment Associates

  • Social Worker
  • Woodstock, IL
  • NPI 1790399319
  NPD tax ID
• Northwest Treatment Associates, Inc.

  • Professional Counselor
  • Woodstock, IL
  • NPI 1467585075
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol A Fetzner, LCPC

  • Professional Counselor
  • Woodstock, IL
  • NPI 1871626481
  Authorized official Same address or phone

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1740507821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 DUNDEE AVE STE E1",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202233",
            "telephone_number": "847-608-8570",
            "fax_number": "847-608-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 DUNDEE AVE STE E1",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202233",
            "telephone_number": "847-608-8570",
            "fax_number": "847-608-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TREATMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "FETZNER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-337-1234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, NCC, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180000371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc. (The Hearing Lab)
• Northwest Brain and Spine Surgery, S.C.
• Northwest Pediatric Services, S.C.
• Northwest Physicians Associates
• Northwest Suburban Imaging Associates, S.C.
• Peter Norton, RPH FASCP
• Carol Cassidy Novak, R.PH.
• Francis F Ntowe, PHARM.D.
• Grace Nuam
• Maria C Nunez, LSW

• Community/Behavioral Health Agency in Elgin, IL
• Providers in Elgin, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.