Compassionatecarellc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMPASSIONATECARELLC

Practice address

20 N Front St
Bally, PA 19503-9605

Phone

(610) 624-5936

Fax

(119) 433-9648

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mostafa A Easa

Title

Director

Phone

(610) 624-5936

Specialties & licenses 13

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Kutaiba S Chaleby, MD

  • Child & Adolescent Psychiatry Physician
  • Orefield, PA
  • NPI 1871576736

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Richard Frederick Zielinski, MD

  • Specialist
  • Watonga, OK
  • NPI 1225065006

  PA

  Medicare reassignment Care Compare group NPD
• Lori Jo Slavick, PA-C

  • Physician Assistant
  • Chambersburg, PA
  • NPI 1104037464

  PA

  Medicare reassignment Care Compare group
• Allison Karly Schubert, ATR-BC

  • Mental Health Counselor
  • Allentown, PA
  • NPI 1518719236

  Mental Health, PA

  Medicare reassignment NPD
• Marie-Lisa Dunbar, LCSW

  • Clinical Social Worker
  • Princeton Junction, NJ
  • NPI 1992108989

  PA, Social Worker

  Medicare reassignment NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1194339648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N FRONT ST",
            "city": "BALLY",
            "state": "PA",
            "postal_code": "195039605",
            "telephone_number": "610-570-7604",
            "fax_number": "119-433-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N FRONT ST",
            "city": "BALLY",
            "state": "PA",
            "postal_code": "195039605",
            "telephone_number": "610-624-5936",
            "fax_number": "119-433-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATECARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "EASA",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-624-5936",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Part of Our Family Home Care Agency LLC
• A Part of Our Family Home Care LLC
• Bally Community Ambulance Association
• Susan L Bauer, COTA/L
• Mariah R Cory
• Courtney Lynn Eidle
• Emergent Healthcare Inc
• Heather Hoppes-Spohn, LMFT
• Ericka Lindsay Koffel, RD, LDN, CHWC

• All providers in Bally, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.