Northwest Treatment Associates

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

NORTHWEST TREATMENT ASSOCIATES

Practice address

645 McHenry Ave
Woodstock, IL 60098-2922

Phone

(815) 337-1234

Fax

(815) 337-5653

NPI assigned

Sep 1, 2020

Last updated

Sep 1, 2020By 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

Georgia Ellen Fleming

Title

Billing Specialist

Phone

(847) 608-8570

Specialties & licenses 5

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

  • Community/Behavioral Health Agency
  • Elgin, IL
  • NPI 1740507821
  NPD tax ID
• Northwest Treatment Associates, Inc.

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

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1790399319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MCHENRY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982922",
            "telephone_number": "815-337-1234",
            "fax_number": "815-337-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCHENRY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982922",
            "telephone_number": "815-337-1234",
            "fax_number": "815-337-5653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 Dundee Ave Ste E1",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601202233",
            "country_code": "US",
            "telephone_number": "847-608-8570",
            "fax_number": "847-608-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST TREATMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "847-608-8570"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Nisius, PT
• Drew Alexander Noffs
• Patricia A Nofzinger, M.D.
• Northern Illinois Medical Center (Northwestern Medicine McHenry Hospital)
• Northern Illinois Medical Center (McHenry County Crisis Program)
• Northwest Treatment Associates Inc
• Northwest Treatment Associates, Inc.
• Donald Novak, PT
• Carol Anne Nurse
• Jessica Carol Nusbaum

• Social Worker in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.