OrganizationActive
Northwest Counseling & Guidance Clinic
NPI 1104990530 · Mental Health Clinic/Center (Including Community Mental Health Center) · Frederic, WI
Provider details
- NPI number
- 1104990530
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jackie Maurer, Business Office Supervisor(715) 327-4322
- License
- 2254 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 2254 (WI)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 United Way Drive
Frederic, WI 54837-8938
Phone: (715) 327-4402
Fax: (715) 327-4470
Street-level locationGet directions
Mailing address
203 United Way Drive
Frederic, WI 54837-8938
Registry dates
- Enumerated
- 2006-11-18
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.