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NORTHWEST JOURNEY-DEPERE
NPI 1225155393
Clinic/Center - Adolescent and Children Mental Health in Kimberly, WI

Active since March 23, 2007
1119 W KENNEDY AVE, STE 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 (2 updates tracked since 2021).

About Northwest Journey-depere NPPES

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

NORTHWEST JOURNEY-DEPERE (NPI 1225155393) is a healthcare organization registered as an adolescent and children mental health in Kimberly, Wisconsin and active in the NPI registry since March 2007. The organization lists Jackie J Maurer, Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1225155393
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameNORTHWEST COUNSELING & GUIDANCE CLINIC
Location Address1119 W KENNEDY AVE, STE 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 DateMarch 23, 2007
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1225155393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in WI · 2160
Definition

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.

1119 W KENNEDY AVE, Kimberly, WI 54136
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Other Names 1

Doing Business AsNorthwest Journey-depere

Other Identifiers 3

Medicaid43005000WI
Other42626MN · Health Partners
Other85575MN · Preferred One

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.

AMANDA KAYE HIETPAS
Counselor (Mental Health)
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Outagamie County (920) 470-0754
NORTHWEST COUNSELING & GUIDANCE CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Outagamie County (920) 364-9668
AMY L. ELMER LCSW
Social Worker (Clinical)
1119 W KENNEDY AVE, SUITE 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
SARAH M BECKMAN LPC
Counselor (Mental Health)
1119 W KENNEDY AVE, STE A
KIMBERLY, WI 54136
Outagamie County (920) 364-9668
GARRETT M ELLIS LPC
Counselor (Professional)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Outagamie County (715) 349-7069
JENNA ASPLIN
Social Worker
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Outagamie County (920) 336-8960
ELIZABETH NELSON
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 1225155393. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Northwest Journey-Depere.

Where is Northwest Counseling & Guidance Clinic located?

Northwest Counseling & Guidance Clinic is located at 1119 W Kennedy Ave Ste 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 Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Northwest Counseling & Guidance Clinic accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Network Health and Quartz and 1 other insurer 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.