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Organization Active NPI

Northwest Counseling & Guidance Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Stevens Point, WI
National Provider Identifier
1750409934
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2404 Issued in WI
Legal business name
NORTHWEST COUNSELING & GUIDANCE CLINIC
Practice address
2916 Borham Ave
Ste a
Stevens Point, WI 54481-5099
Phone
(715) 997-9486
Fax
(888) 625-8634
NPI assigned
Mar 27, 2007
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Jackie J Maurer
Title
Office Supervisor
Phone
(715) 349-7069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2404 WI Primary

Addresses

Primary practice location

2916 Borham Ave
Ste a
Stevens Point, WI 54481-5099

Mailing address

PO Box 309
Siren, WI 54872-0309
Phone (715) 349-7069

National Provider Directory

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

Other organizations with this tax ID 21

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

View all 21

Locations

2916 Borham Ave
#A
Stevens Point, WI 54481
Phone (715) 997-9486

931 Michigan Ave
Ste 101
Stevens Point, WI 54481

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1750409934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548720309",
            "telephone_number": "715-349-7069",
            "fax_number": "888-625-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 BORHAM AVE",
            "address_2": "STE A",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815099",
            "telephone_number": "715-997-9486",
            "fax_number": "888-625-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING & GUIDANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "715-349-7069"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.