NORTHWEST JOURNEY - ELLSWORTH
NPI 1306965033
Clinic/Center - Adolescent and Children Mental Health in Ellsworth, WI

Active since March 27, 2007
N6096 530TH ST, ELLSWORTH, WI 54011(715) 273-0203(715) 273-0344 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Journey - Ellsworth NPPES

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

NORTHWEST JOURNEY - ELLSWORTH (NPI 1306965033) is a healthcare organization registered as an adolescent and children mental health in Ellsworth, Wisconsin and active in the NPI registry since March 2007. The organization lists Nick Kalambokidis, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306965033
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameNORTHWEST JOURNEY - ELLSWORTH
Location AddressN6096 530TH STEllsworth, WI 54011-5107
Mailing AddressN6096 530th StEllsworth, WI 54011-5107 · (715) 273-0203 · Fax (715) 273-0344
Fax(715) 273-0344
Organization SubpartYesParent: Northwest Counseling And Guidance Clinic
Authorized OfficialNick KalambokidisCfo · (715) 327-4402
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 23, 2010
NPI 1306965033 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 · 2326
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.
N6096 530TH ST, Ellsworth, WI 54011

Other Identifiers 6

Other7H956NOMN · Bcbs Of Mn
Other42626MN · Health Partners
Other1306965033WI · Humana
Other85575MN · Preferred One
Medicaid43006700WI
Other1306965033WI · Value Options

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 Journey - Ellsworth's NPI number?

The NPI number for Northwest Journey - Ellsworth is 1306965033. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Northwest Journey - Ellsworth located?

Northwest Journey - Ellsworth is located at N6096 530th St, Ellsworth, WI 54011. The listed phone number is (715) 273-0203.

What is Northwest Journey - Ellsworth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Northwest Journey - Ellsworth was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.