Northwest Counseling & Guidance Clinic
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Stevens Point, WI
NPI 1750409934 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1750409934
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- License
- 2404 (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
- Organization subpart
- No
Authorized official
- Name
- Jackie J Maurer
- Title
- Office Supervisor
- Phone
- (715) 349-7069
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Northwest Counseling Center
Locations
931 Michigan Ave
Ste 101
Stevens Point, WI 54481
2916 Borham Ave
#A
Stevens Point, WI 54481
Phone (715) 997-9486
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 2404 | WI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85575 | Other | MN | PREFERRED ONE |
| 42626 | Other | MN | HEALTH PARTNERS |
| 7H956NO | Other | WI | BCBS OF MN |
| 43007300 | Medicaid | WI |
Other providers in Stevens Point, WI
- Noble Care Afh LLC
- North Crest - North Haven, Inc.
- North Haven, Inc.
- North Ridge - North Haven, Inc.
- North Star Transit LLC
- Northwest Counseling and Guidance Clinic
- Cameron John Noskowiak
- NSH Stevens Point LLC
- NSH Stevens Point-Manor LLC
- NSH Stevens Point-River View LLC
All providers in Stevens Point, WI · Adolescent and Children Mental Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.