Northwest Passage Ltd
Northwest Passage Ltd is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Frederic, WI, holding Type 2 (organization) NPI 1235266065 since 2007. The authorized official on file is Jackie Maurer, Business Office Supervisor.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1235266065 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northwest Passage Ltd |
| Parent organization | Northwest Passage |
| Practice address | 203 UNITED WAY DRIVE, Frederic, WI, 54837 |
| Phone | 7153274402 |
| Fax | 7153274470 |
| Enumeration date | 2007-02-28 |
| Last updated in NPPES | 2012-03-27 |
Authorized official
| Name | Jackie Maurer |
|---|---|
| Title | Business Office Supervisor |
| Phone | 7153274322 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | Primary | 560014 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43015400 | Medicaid | WI | — |
| NONE | Other | WI | HEALTH PARTNERS |
| 3181NO | Other | MN | BCBS OF MN |
Copy-ready billing details
Provider: Northwest Passage Ltd NPI: 1235266065 Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility) Address: 203 UNITED WAY DRIVE, Frederic, WI, 54837
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104990530 | Northwest Counseling & Guidance Clinic | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Frederic, WI |
| 1710022298 | Cynthia Boykin | Individual | Clinical Psychologist | Frederic, WI |
| 1225173644 | Tara Mitchell | Individual | Mental Health Counselor | Frederic, WI |
| 1619002839 | Timothy Newlin | Individual | Mental Health Counselor | Frederic, WI |
Verify this record
Cross-check NPI 1235266065 against the authoritative CMS record: view Northwest Passage Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Northwest Passage Ltd located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-03-27.