NPIMap

Organization Active NPI

Compass Recovery

  • Social Worker
  • Ravenna, OH
National Provider Identifier
1215099866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0031295 Issued in OH
Legal business name
COMPASS RECOVERY
Practice address
109 E Main St
Ravenna, OH 44266-3101
Phone
(330) 298-9391
Fax
(330) 298-9392
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Vicki Lynne Pelletier, LSW, MSSA, JD
Title
Chemical Dependency Counselor
Phone
(330) 298-9391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X S0031295 OH Primary

Addresses

Primary practice location

109 E Main St
Ravenna, OH 44266-3101

Mailing address

3925 S Pricetown Rd
Berlin Center, OH 44401-8700
Phone (330) 298-9391

National Provider Directory

National Provider Directory
Tax ID family
Compass Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215099866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 S PRICETOWN RD",
            "city": "BERLIN CENTER",
            "state": "OH",
            "postal_code": "444018700",
            "telephone_number": "330-298-9391",
            "fax_number": "330-292-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663101",
            "telephone_number": "330-298-9391",
            "fax_number": "330-298-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "330-298-9391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW, MSSA, JD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0031295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.