Organization Active NPI

Inner Compass Counseling Services, LLC

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1720609647
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER COMPASS COUNSELING SERVICES, LLC
Practice address
911 S Parsons Ave Ste B
Brandon, FL 33511-6042
Phone
(407) 307-9373
NPI assigned
May 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Ms. Ravy E Lieng, LCSWNPI 1679977672
Title
Sole MBR/ Mental Health Therapist
Phone
(407) 307-9373

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

911 S Parsons Ave Ste B
Brandon, FL 33511-6042

Mailing address

911 S Parsons Ave Ste B
Brandon, FL 33511-6042
Phone (407) 307-9373

Other identifiers 1

IdentifierTypeStateIssuer
SW15335OtherFLLICENSED CLINCIAL SOCIAL WORKER

National Provider Directory

National Provider Directory

Locations

911 S Parsons Ave
Ste B
Brandon, FL 33511
Phone (813) 625-5253

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": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1720609647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S PARSONS AVE STE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116042",
            "telephone_number": "407-307-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S PARSONS AVE STE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116042",
            "telephone_number": "407-307-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER COMPASS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "LIENG",
        "authorized_official_first_name": "RAVY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MBR/ MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "407-307-9373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINCIAL SOCIAL WORKER",
            "identifier": "SW15335",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.