NPIMap

Organization Active NPI

Compass Rose Behavioral Health LLC

  • Clinical Social Worker
  • Tuscaloosa, AL
National Provider Identifier
1609650555
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPASS ROSE BEHAVIORAL HEALTH LLC
Practice address
11460 Marion Oaks Dr
Tuscaloosa, AL 35405-9258
Phone
(662) 425-2804
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Kwajalin Brown, DSWNPI 1093301152
Title
Ceo/Principal Therapist
Phone
(205) 246-0671

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11460 Marion Oaks Dr
Tuscaloosa, AL 35405-9258

Mailing address

11460 Marion Oaks Dr
Tuscaloosa, AL 35405-9258
Phone (662) 425-2804

National Provider Directory

National Provider Directory

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": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1609650555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 MARION OAKS DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354059258",
            "telephone_number": "662-425-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 MARION OAKS DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354059258",
            "telephone_number": "662-425-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS ROSE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KWAJALIN",
        "authorized_official_title_or_position": "CEO/PRINCIPAL THERAPIST",
        "authorized_official_telephone_number": "205-246-0671",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.