Compass Integrative Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMPASS INTEGRATIVE COUNSELING LLC

Practice address

5507 Ranch Dr Ste 202
Little Rock, AR 72223-0043

Phone

(501) 291-3732

Fax

(501) 251-1091

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin C Skrivanos, LPCNPI 1386193209

Title

Owner/Clinical Director

Phone

(501) 291-3732

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Compass Family Counseling Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

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.

• Martin Skrivanos, LPC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1386193209
  Medicare reassignment NPD Authorized official
• Betsy A Dedrick, LPC, LMFT

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1194574756
  Medicare reassignment NPD
• Elizabeth Standage, LAC

  • Mental Health Counselor
  • Conway, AR
  • NPI 1417654658
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1679216972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230043",
            "telephone_number": "501-291-3732",
            "fax_number": "501-251-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230043",
            "telephone_number": "501-291-3732",
            "fax_number": "501-251-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS INTEGRATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SKRIVANOS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "501-291-3732",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1386193209",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.compasscounselingar.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5507 Ranch Dr Ste 202",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722230043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Compass Family Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.