Active NPI
Kathy Schutz LCSW PC
Doing business as Compass Clinical Group
- Community/Behavioral Health Agency
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C005392
- Legal business name
- KATHY SCHUTZ LCSW PC
- Doing business as
- Compass Clinical Group
- Practice address
- 702 Cromwell Dr
Suite G
Greenville, NC 27858-5436 - Phone
- (252) 714-1755
- NPI assigned
- Oct 5, 2010
- Last updated
- Apr 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Schutz, LCSW
- Title
- President
- Phone
- (252) 714-1755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1806 | NC | |
| Clinical Social Worker | 1041C0700X | C005392 | NC | |
| Marriage & Family Therapist | 106H00000X | 1229 | NC | |
| Community/Behavioral Health Agency | 251S00000X | C005392 | NC | Primary |
Addresses
Primary practice location
702 Cromwell Dr
Suite G
Greenville, NC 27858-5436
Mailing address
3709 Barton Way
Grimesland, NC 27837-9159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2852215A | Other | NC | MEDICARE PTAN |
| 6106507 | Medicaid | NC |
Other names 1
- Compass Clinical Group
National Provider Directory
National Provider DirectoryLocations
7356 US Highway 64
Robersonville, NC 27871
Phone (252) 353-7025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Greenville, NC
- NPI 1033241419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304035200000",
"number": "1376852616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 BARTON WAY",
"city": "GRIMESLAND",
"state": "NC",
"postal_code": "278379159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 CROMWELL DR",
"address_2": "SUITE G",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585436",
"telephone_number": "252-714-1755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY SCHUTZ LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-05",
"last_updated": "2011-04-29",
"status": "A",
"authorized_official_last_name": "SCHUTZ",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-714-1755",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1806",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005392",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1229",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "C005392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2852215A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106507",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Compass Clinical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.