Northwest Resources, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

39001253A Issued in IN

Legal business name

NORTHWEST RESOURCES, INC.

Practice address

7330 Indianapolis Blvd
Hammond, IN 46324-2941

Phone

(219) 844-5362

Fax

(219) 844-5361

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline S Michael, M.S., LMHC

Title

President

Phone

(219) 844-5362

Specialties & licenses 1

Addresses

Other names 1

• Northwest Resources, EAP Doing business as

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891918843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 INDIANAPOLIS BLVD",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242941",
            "telephone_number": "219-844-5362",
            "fax_number": "219-844-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 INDIANAPOLIS BLVD",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242941",
            "telephone_number": "219-844-5362",
            "fax_number": "219-844-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-844-5362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., LMHC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "39001253A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Resources, EAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Hammond, IN
• Providers in Hammond, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.