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NORTHWEST COUNSELING & GUIDANCE CLINIC
NPI 1093564353
Clinic/Center - Adolescent and Children Mental Health in Prescott, WI

Active since May 17, 2024
125 ELM ST N, PRESCOTT, WI 54021(715) 309-4255 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About NORTHWEST COUNSELING & GUIDANCE CLINIC

This page provides the complete NPI Profile along with additional information for Northwest Counseling & Guidance Clinic, a provider established in Prescott, Wisconsin operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1093564353 assigned on May 2024. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jackie Maurer (Office Supervisor)

NPI
1093564353 Verify this NPI
Provider Name
NORTHWEST COUNSELING & GUIDANCE CLINIC
Entity Type
Organization
Location Address
125 ELM ST N PRESCOTT, WI 54021
Location Phone
(715) 309-4255
Mailing Address
PO BOX 309 SIREN, WI 54872
Mailing Phone
(715) 349-7069
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-17-2024
Last Update Date
05-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACKIE MAURER

Authorized Official Title
OFFICE SUPERVISOR
Authorized Official Phone
(715) 349-7069

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Frequently Asked Questions

What is NORTHWEST COUNSELING & GUIDANCE CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1093564353, enumerated as an "organization" on May 17, 2024.

Where is the provider located?

The provider is located at 125 ELM ST N PRESCOTT, WI 54021 and the phone number is (715) 309-4255.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.