Organization Active NPI

Compassionate Care Counseling, LLC

  • Social Worker
  • St Petersburg, FL
National Provider Identifier
1740906643
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
COMPASSIONATE CARE COUNSELING, LLC
Practice address
3831 Tyrone Blvd N Ste 201E
St Petersburg, FL 33709-4114
Phone
(727) 308-6902
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Megan McIntyre, LCSWNPI 1649429580
Title
Owner / Therapist
Phone
(727) 851-8455

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3831 Tyrone Blvd N Ste 201E
St Petersburg, FL 33709-4114

Mailing address

3831 Tyrone Blvd N Ste 201E
St Petersburg, FL 33709-4114
Phone (727) 308-6902

Other practice location 1

4120 5th Ave N Ste 1
St Petersburg, FL 33713-6304
Phone (727) 308-6902

Other names 1

  • Compassionate Counseling Services, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221214000015 FL Part B Supplier - Clinic/Group Practice 7517336571 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

3831 Tyrone Blvd N
Ste 201E
St Petersburg, FL 33709
Phone (727) 308-6902

5741 9th Ave N
Ste D
St Petersburg, FL 33710
Phone (727) 308-6902

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": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1740906643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 TYRONE BLVD N STE 201E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094114",
            "telephone_number": "727-308-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 TYRONE BLVD N STE 201E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094114",
            "telephone_number": "727-308-6902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 5th Ave N Ste 1",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337136304",
            "country_code": "US",
            "telephone_number": "727-308-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSIONATE CARE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "727-851-8455",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Counseling Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Compassionate Counseling Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.