NPIMap

Organization Active NPI

Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Charles, MO
National Provider Identifier
1083033591
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASS HEALTH, INC.
Practice address
102 Compass Point Dr
Saint Charles, MO 63301-4404
Phone
(888) 403-1071
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Teresa Porter
Title
Credentialing/Contracting Manager
Phone
(660) 890-8156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

102 Compass Point Dr
Saint Charles, MO 63301-4404

Mailing address

102 Compass Point Dr
Saint Charles, MO 63301-4414
Phone (636) 332-8318

Other names 1

  • Pathways Community Behavioral Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206002081 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Saint Charles, MO

Federally qualified health center certification: CCN 261080

Legal name
COMPASS HEALTH INC
Doing business as
COMPASS HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 4, 2014
Last certification
Aug 4, 2014
Ownership / control type
For profit – corporation
Most recent change of ownership
Oct 1, 2014 (1 total)
Organization structure
CorporationNon-profit
Incorporated
May 3, 2004 in MO
Enrollment address
102 Compass Point Dr
Saint Charles, MO 63301-4404

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2333619Compass Health St Charles - CP102 Compass Point Dr, St Charles, MO 63301Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pathways Community Beha126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1428 N State Highway 47
Warrenton, MO 63383
Phone (636) 359-6445

1428 N State Highway 47
Ste B
Warrenton, MO 63383
Phone (636) 456-1500

851 E 5th St
Ste 132
Washington, MO 63090
Phone (314) 390-4552

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joi Niedner Individual Corporate OfficerBoard Member Oct 1, 2014
Corporate DirectorBoard Member Oct 1, 2014
Dennis Daugherty Individual Corporate OfficerBoard Member Oct 1, 2014
Corporate DirectorBoard Member Oct 1, 2014
Rebecca Culler Individual Corporate OfficerBoard Member Oct 1, 2014
Corporate DirectorBoard Member Oct 1, 2014
Rodney Reid Individual Corporate OfficerBoard Member Feb 4, 2022
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Jul 30, 2008
Keith Schafer Individual Corporate OfficerBoard Member Feb 4, 2022
Curtis Cain Individual Corporate OfficerBoard Member Feb 4, 2022
Patricia Cleveland Individual Corporate OfficerBoard Member Oct 1, 2014
Corporate DirectorBoard Member Oct 1, 2014
Brian C Baker Individual Corporate OfficerBoard Member Feb 4, 2022
Tim Alan Larimore Individual Corporate OfficerBoard Member Feb 4, 2022
Timothy Swinfard Individual Corporate OfficerCeo Jan 15, 2013
Corporate DirectorCeo Jan 15, 2013
Alan W Stevens Individual Corporate OfficerVP, Integrated Care Jul 1, 2012
Corporate DirectorVP, Integrated Care Jul 1, 2012

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compass Health IncSaint Peters, MO, CCN 261161 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 11, 2018

Practitioners & affiliated clinicians

Practitioners 50

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

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1083033591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMPASS POINT DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014414",
            "telephone_number": "636-332-8318",
            "fax_number": "636-332-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMPASS POINT DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014404",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING MANAGER",
        "authorized_official_telephone_number": "660-890-8156"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Community Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.