Spiritual Compass Therareutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001733 Issued in CT

Legal business name

SPIRITUAL COMPASS THERAREUTIC SERVICES

Practice address

124 Fort Hill Rd
Groton, CT 06340-4335

Phone

(860) 705-5631

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Lisa M Smith, LMFTNPI 1316285596

Title

Licensed Marriage and Family Therap

Phone

(860) 705-5631

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Lisa Smith

  • Marriage & Family Therapist
  • Norwich, CT
  • NPI 1316285596
  NPD (past) Authorized official

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1558746016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CEDAR RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552163",
            "telephone_number": "860-536-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FORT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404335",
            "telephone_number": "860-705-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL COMPASS THERAREUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
        "authorized_official_telephone_number": "860-705-5631",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008058996",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern CT Primary Care, LLC
• David Graham Southerland, M.D.
• Maggie Spadaro
• Daniel Paul Sparks
• Speak Your Mind LLC
• Jennifer L. Spreng, LMFT
• Jessica St. Germaine, LO
• Susannah Jane Forte Stahr, MS, MFT
• Laura Lee Stapleton, PA-C
• Susan Steady, PT

• Community/Behavioral Health Agency in Groton, CT
• Providers in Groton, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.