Organization Active NPI

Compass Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corinth, MS
National Provider Identifier
1578023685
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPASS COUNSELING LLC
Practice address
501 Pinecrest Rd
Corinth, MS 38834-5332
Phone
(662) 284-6957
NPI assigned
Mar 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Kassandra Decker, LPCNPI 1104166404
Title
Owner - LPC
Phone
(662) 640-2069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

501 Pinecrest Rd
Corinth, MS 38834-5332

Mailing address

1904 Oak LN
Corinth, MS 38834-2760
Phone (662) 284-6957

Other practice location 1

1904 Oak Ln
Corinth, MS 38834-2760
Phone (662) 284-6957

Other identifiers 2

IdentifierTypeStateIssuer
09336064MedicaidMS
00634231MedicaidMS

National Provider Directory

National Provider Directory

Locations

501 Pinecrest Rd
Corinth, MS 38834
Phone (662) 284-6957

3303 Shiloh Ridge Rd
Corinth, MS 38834
Phone (662) 287-5662

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1578023685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 OAK LN",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388342760",
            "telephone_number": "662-284-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PINECREST RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345332",
            "telephone_number": "662-284-6957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388342760",
            "country_code": "US",
            "telephone_number": "662-284-6957",
            "fax_number": "844-519-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_title_or_position": "OWNER - LPC",
        "authorized_official_telephone_number": "662-640-2069",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09336064",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00634231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.