The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1902923568 |
NPI Entity Type | Organization |
Provider Name | Northwest Counseling And Guidance Clinic- Siren Day Treatment |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 24996 St Rd 35, Siren, WI, US |
Provider Mailing Address | Po Box 309, Siren, WI, US, 548720309 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | Jackie Maurer |
Official Position | OFFICE SUPERVISOR |
Phone | 715-349-7069 |
Taxonomy Code | |
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center |
Classification | |
Group | |
License No. | 2290 |
License State | WI |
Description | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
HUMANA | HUMANA | 01 | |
42626 | MN | HEALTH PARTNERS | 01 |
43004000 | WI | MEDICAID | 05 |
VALUE OPTIONS | VALUE OPTIONS | 01 | |
7H956NO | MN | BCBS OF MN | 01 |
PREFERRED ONE | MN | PREFERRED ONE | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Timothy H Mcdonough Individual |
600 Highland Ave |
||
PA-C Jennifer Parnell Individual |
1300 South Drive |
||
Dean Health Systems, Inc Organization |
1821 S Stoughton Rd |
||
DDS Katherine Anne Knabe Individual |
5337 W Grande Market Dr |
||
PA(ASCP) Amanda Katsma Individual |
5000 W National Ave |
||
MRS. APNP, PMHNP-BC Tilly Burroughs Individual |
1114 56th St |
||
Shong Chang Individual |
10 Tower Dr |
||
Golden Medical Transportation Llc Organization |
1740 E Mason St # 5 |
||
LCSW, SAC-IT Alexandra Duvall Individual |
540 College St |
||
D-PT Rachel Ann Lohrengel Individual |
744 S Webster Ave |
||
LPC Rebecca A Richards Individual |
820 Washington St |
||
DR. D.O. Meredith Caroline Schaffner Individual |
1836 South Ave |
||
Rebecca Fafard Individual |
702 W Main St |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
611 Sherman Ave E |
||
MRS. LPC Holly L Doughty Individual |
120 E 4th St |
||
Fort Memorial Hospital Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
500 Mcmillen St |
||
Fort Healthcare, Inc Organization |
611 Sherman Ave E |
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