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NORTHWEST DIRECTIONS - DEPERE
NPI 1063721017
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kimberly, WI

Active since September 24, 2010
1119 W KENNEDY AVE, SUITE A, KIMBERLY, WI 54136(920) 364-9668(888) 625-8634 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, May 5, 2021, Feb 19, 2019 (3 updates tracked since 2019).

About Northwest Directions - Depere NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST DIRECTIONS - DEPERE (NPI 1063721017) is a healthcare organization registered as a mental health (including community mental health center) in Kimberly, Wisconsin and active in the NPI registry since September 2010. The organization lists Jackie J Maurer, Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1063721017
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHWEST COUNSELING & GUIDANCE CLINIC
Location Address1119 W KENNEDY AVE, SUITE AKimberly, WI 54136-2213
Mailing AddressPo Box 309Siren, WI 54872-0309 · (715) 349-7069 · Fax (888) 625-8634
Phone(920) 364-9668
Fax(888) 625-8634
Organization SubpartYes
Authorized OfficialJackie J MaurerOffice Supervisor · (715) 349-7069
Enumeration DateSeptember 24, 2010
Last NPPES UpdateAugust 15, 20223 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1063721017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 2924
1119 W KENNEDY AVE, Kimberly, WI 54136
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthwest Directions - Depere

Other Identifiers 1

Medicaid2924WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRETT M ELLIS LPC
Counselor (Professional)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Outagamie County (715) 349-7069
AHNA MANGOLD
Counselor (Professional)
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Outagamie County (920) 336-8960
SARAH M BECKMAN LPC
Counselor (Mental Health)
1119 W KENNEDY AVE, STE A
KIMBERLY, WI 54136
Outagamie County (920) 364-9668
NORTHWEST COUNSELING & GUIDANCE CLINIC
Clinic/Center (Adolescent and Children Mental Health)
1119 W KENNEDY AVE, STE A
KIMBERLY, WI 54136
Outagamie County (920) 364-9668
MARINA L VERWIEL LPC
Counselor (Mental Health)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Outagamie County (920) 364-9668
JESLYN ANDREWS
Social Worker
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Outagamie County (920) 336-8960
AMY L. ELMER LCSW
Social Worker (Clinical)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Outagamie County (920) 364-9668
JORDYN ZEHMS
Counselor (Professional)
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Outagamie County (920) 336-8960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Counseling & Guidance Clinic's NPI number?

The NPI number for Northwest Counseling & Guidance Clinic is 1063721017. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is doing business as Northwest Directions - Depere.

Where is Northwest Counseling & Guidance Clinic located?

Northwest Counseling & Guidance Clinic is located at 1119 W Kennedy Ave Suite A, Kimberly, WI 54136. The listed phone number is (920) 364-9668.

What is Northwest Counseling & Guidance Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Northwest Counseling & Guidance Clinic accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Northwest Counseling & Guidance Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Counseling & Guidance Clinic was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.