NPIMap

Organization Active NPI

Compass Health, Inc.

Doing business as Pathways Community Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Clinton, MO
National Provider Identifier
1245669266
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASS HEALTH, INC.
Doing business as
Pathways Community Behavioral Healthcare
Practice address
1800 Community
Clinton, MO 64735-8804
Phone
(660) 885-8131
NPI assigned
Nov 12, 2013
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Teresa Porter
Title
Credentialing Manager
Phone
(660) 890-8156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1800 Community
Clinton, MO 64735-8804

Mailing address

1800 Community
Clinton, MO 64735-8804

Other names 1

  • Pathways Community Behavioral Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131213001599 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Clinton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245669266. Details of each certification follow.

Federally qualified health center certification: CCN 261066

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 20, 2014
Last certification
Jan 20, 2014
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
May 3, 2004 in MO
Enrollment address
1800 Community
Clinton, MO 64735-8804

National Provider Directory

National Provider Directory
Tax ID family
Pathways Community Behavioral Healthcare Inc127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joi Niedner Individual Corporate OfficerBoard Member Feb 4, 2022
Dennis Daugherty Individual Corporate OfficerBoard Member Feb 4, 2022
Rebecca Culler Individual Corporate OfficerBoard Member Feb 4, 2022
Rodney Reid Individual Corporate OfficerBoard Member Feb 4, 2022
Teresa L Porter Individual W-2 Managing EmployeeCredentialing/Contracting Manage Jul 30, 2008
Keith Schafer Individual Corporate OfficerBoard Member Feb 4, 2022
Curtis Cain Individual Corporate OfficerBoard Member Feb 4, 2022
Tim Glasscock Individual Corporate OfficerBoard Member Feb 4, 2022
Patricia Cleveland Individual Corporate OfficerBoard Member Feb 4, 2022
Brian C Baker Individual Corporate OfficerBoard Member Feb 4, 2022
Tim Alan Larimore Individual Corporate OfficerBoard Member Feb 4, 2022
Alan W Stevens Individual Corporate DirectorDirector Jan 20, 2014

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compass Health IncSaint Peters, MO, CCN 261161 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 11, 2018

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1245669266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "660-890-8156"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Community Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.