Organization Active NPI

Inner Compass, LLC

  • Psychologist
  • Wellsboro, PA
National Provider Identifier
1063842284
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017141 Issued in PA
Legal business name
INNER COMPASS, LLC
Practice address
107 Main St Unit 3
Wellsboro, PA 16901-1518
Phone
(570) 723-1005
Fax
(570) 723-1006
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa Vaughn Feil, PSYDNPI 1518237866
Title
Psychologist
Phone
(570) 723-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS017141 PA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW000402L PA

Addresses

Primary practice location

107 Main St Unit 3
Wellsboro, PA 16901-1518

Mailing address

107 Main St Unit 3
Wellsboro, PA 16901-1518
Phone (570) 723-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818001141 PA Part B Supplier - Clinic/Group Practice 2466679352 Receives reassigned benefits from 1 practitioner
Practice locations: Wellsboro, PA

National Provider Directory

National Provider Directory

Locations

107 Main St
Unit 3
Wellsboro, PA 16901
Phone (570) 723-1005

107 Main St
#3
Wellsboro, PA 16901
Phone (570) 723-1005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1063842284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAIN ST UNIT 3",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011518",
            "telephone_number": "570-723-1005",
            "fax_number": "570-723-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST UNIT 3",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011518",
            "telephone_number": "570-723-1005",
            "fax_number": "570-723-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER COMPASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "FEIL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-723-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017141",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW000402L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.