Compass Life Resources, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COMPASS LIFE RESOURCES, LLC

Practice address

1515 N 1St St
Indianola, IA 50125-3703

Phone

(515) 306-3423

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Grimm, LMHCNPI 1366958688

Title

Ceo

Phone

(515) 306-3423

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Grimm, LMHC

  • Mental Health Counselor
  • Indianola, IA
  • NPI 1366958688
  NPD Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1114681434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE DELAWARE AVE APT A",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253703",
            "telephone_number": "515-306-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS LIFE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-306-3423",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Chestnut, ARNP
• City of Indianola
• Michelle R Collette, ARNP
• Clifford Charles Collins, D.D.S.
• Susan Comer, MD
• Michael Harvey Cooley
• Nanette K Cooley, RPH
• Thomas Ray Cooney, D.D.S.
• Annette Corbett, MPT
• Countryside Medical Clinic, LLC

• Adult Mental Health Clinic/Center in Indianola, IA
• Providers in Indianola, IA by specialty
• Adult Mental Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.