Northwest Counseling And Guidance - Northwest Journey - Superior, NPI 1982821575
Adolescent and Children Mental Health Clinic/Center in Superior, WI, US
NPI number: what is it?
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 | 1982821575 |
| NPI Entity Type | Organization |
| Provider Name | Northwest Counseling And Guidance - Northwest Journey - Superior |
| Subpart of Organization | Northwest Counseling And Guidance Clinic |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1419 Hill Ave Ste B, Superior, WI, US |
| Provider Mailing Address | 1412 E Second Street, Superior, ID, US, 54880 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Nick Kalambokidis |
| Official Position | CFO |
| Phone | 715-327-4402 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Adolescent and Children Mental Health Clinic/Center |
| Classification | |
| Group | |
| License No. | 2074 |
| 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| HUMANA | HUMANA | 01 | |
| 42626 | MN | HEALTH PARTNERS | 01 |
| VALUE OPTIONS | VALUE OPTIONS | 01 | |
| 7H956NO | MN | BCBS OF MN | 01 |
| 85575 | MN | PREFERRED ONE | 01 |
| 43004700 | WI | MEDICAID | 05 |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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DDS Katherine Anne Knabe Individual |
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PA(ASCP) Amanda Katsma Individual |
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MRS. APNP, PMHNP-BC Tilly Burroughs Individual |
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Golden Medical Transportation Llc Organization |
1740 E Mason St # 5 |
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LCSW, SAC-IT Alexandra Duvall Individual |
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D-PT Rachel Ann Lohrengel Individual |
744 S Webster Ave |
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LPC Rebecca A Richards Individual |
820 Washington St |
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DR. D.O. Meredith Caroline Schaffner Individual |
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Rebecca Fafard Individual |
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Fort Healthcare, Inc. Organization |
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Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
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Fort Healthcare Inc Organization |
611 Sherman Ave E |
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MRS. LPC Holly L Doughty Individual |
120 E 4th St |
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Fort Memorial Hospital Organization |
611 Sherman Ave E |
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Fort Healthcare Inc Organization |
500 Mcmillen St |
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|
Fort Healthcare, Inc Organization |
611 Sherman Ave E |
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