Compass Collaborative Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMPASS COLLABORATIVE COUNSELING, PLLC

Practice address

11 Boston Post Rd FL 2
Waterford, CT 06385-2401

Phone

(860) 339-6973

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Kiley Young, LCSW

Title

Member Owner

Phone

(860) 339-6973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1306493218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BOSTON POST RD FL 2",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOSTON POST RD FL 2",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852401",
            "telephone_number": "860-339-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS COLLABORATIVE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "860-339-6973",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.