Compassionate Care Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMPASSIONATE CARE COUNSELING SERVICES

Practice address

4179 SE Division St
Portland, OR 97202-1646

Phone

(503) 569-3923

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

Desiree Guzman, LCSW

Title

Therapist

Phone

(503) 569-3923

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1386112449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021646",
            "telephone_number": "503-569-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021646",
            "telephone_number": "503-569-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "503-569-3923",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental 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 Nov 7, 2018; 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.