Organization Active NPI

Compassion Counseling, Inc.

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1114424397
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07496 Issued in MD
Legal business name
COMPASSION COUNSELING, INC.
Practice address
539 Benfield Rd
Severna Park, MD 21146-2511
Phone
(410) 562-4904
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Jill Camm, LCSW-CNPI 1245292267
Title
President
Phone
(410) 562-4904

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 07496 MD Primary

Addresses

Primary practice location

539 Benfield Rd
Severna Park, MD 21146-2511

Mailing address

213 Lower Magothy Beach Rd
Severna Park, MD 21146-2105
Phone (410) 562-4904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180521001880 MD Part B Supplier - Clinic/Group Practice 3476818527 Receives reassigned benefits from 1 practitioner
Practice locations: Severna Park, MD

National Provider Directory

National Provider Directory

Locations

539 Benfield Rd
Severna Park, MD 21146
Phone (410) 513-4513

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": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1114424397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 LOWER MAGOTHY BEACH RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462105",
            "telephone_number": "410-562-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BENFIELD RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462511",
            "telephone_number": "410-562-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "CAMM",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-562-4904",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.