Compass Behavioral Health and Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006509 Issued in IL

Legal business name

COMPASS BEHAVIORAL HEALTH AND WELLNESS, LLC

Practice address

600 S Washington St Ste 202
Naperville, IL 60540

Phone

(630) 453-5188

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lynn Pellicano, PSYDNPI 1225426570

Title

Therapist

Phone

(630) 453-5188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Jennifer Lynn Pellicano, PSYD

  • Clinical Psychologist
  • Sandwich, IL
  • NPI 1225426570
  Medicare reassignment NPD Authorized official
• Kristi M Finn, L.C.P.C

  • Professional Counselor
  • Naperville, IL
  • NPI 1922396019
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1225525918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S WASHINGTON ST STE 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406666",
            "telephone_number": "630-453-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WASHINGTON ST STE 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-453-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS BEHAVIORAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "PELLICANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-453-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Renee Collins
• Anthony Thomas Coluzzi, PA-C
• Nicolas Comeau, PSY.D.
• Comfort Care Family Dental, PC
• Community Nursing & Rehabilitation Center LLC
• Compassion Focused Counseling Center PLLC
• Compassionate Edge Inc
• Compassionate Psychological Services LLC
• Comprehensive Psych Solutions Inc
• Amanda Rae Comstock, PSY.D.

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.