NPIMap

Organization Active NPI

Northwest Counseling and Guidance Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Siren, WI
National Provider Identifier
1942594791
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Practice address
7670 Johnson Street
Siren, WI 54872-3993
Phone
(715) 349-2829
Fax
(715) 349-2737
NPI assigned
Jun 8, 2011
Organization subpart
Yes
Parent organization
NORTHWEST COUNSELING AND GUIDANCE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Nick Kalambokidis
Title
Cfo
Phone
(715) 327-4322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7670 Johnson Street
Siren, WI 54872-3993

Mailing address

7670 Johnson Street
Siren, WI 54872-3993
Phone (715) 349-2829

Other names 1

  • Northwest Directions - Siren Doing business as

National Provider Directory

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

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1942594791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 JOHNSON STREET",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548723993",
            "telephone_number": "715-349-2829",
            "fax_number": "715-349-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 JOHNSON STREET",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548723993",
            "telephone_number": "715-349-2829",
            "fax_number": "715-349-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING AND GUIDANCE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COUNSELING AND GUIDANCE CLINIC",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "KALAMBOKIDIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-327-4322"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Directions - Siren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Siren, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.