Organization Active NPI

Compass Conservative Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Augustine, FL
National Provider Identifier
1104798610
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPASS CONSERVATIVE COUNSELING
Practice address
107 15TH St
St Augustine, FL 32080-6343
Phone
(904) 501-5850
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Dillon Ott
Title
Co-Owner
Phone
(904) 501-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

107 15TH St
St Augustine, FL 32080-6343

Mailing address

107 15TH St
St Augustine, FL 32080-6343
Phone (904) 501-5850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1104798610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 15TH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806343",
            "telephone_number": "904-501-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 15TH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806343",
            "telephone_number": "904-501-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS CONSERVATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "904-501-5850"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.