Active NPI
Compass Health, Inc.
- Federally Qualified Health Center (FQHC)
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMPASS HEALTH, INC.
- Practice address
- 3501 Berrywood Dr
Columbia, MO 65201-6584 - Phone
- (888) 403-1071
- NPI assigned
- Oct 25, 2019
- Last updated
- Oct 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa L Porter
- Title
- Credentialing Manager
- Phone
- (660) 890-8156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
3501 Berrywood Dr
Columbia, MO 65201-6584
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191217000289 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Columbia, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1750924312. Details of each certification follow.
Federally qualified health center certification: CCN 261186
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 17, 2019
- Last certification
- Dec 17, 2019
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 3501 Berrywood Dr
Columbia, MO 65201-6584
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2333639 | Compass Health Columbia Berrywood | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Pathways Community Behavioral Healthcare Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Arnold, MO
- NPI 1659141067
-
dba Fox Comprehensive Health Center
- Federally Qualified Health Center (FQHC)
- Arnold, MO
- NPI 1669844130
-
- Federally Qualified Health Center (FQHC)
- Crystal City, MO
- NPI 1700426913
-
- Federally Qualified Health Center (FQHC)
- Weldon Spring, MO
- NPI 1730878075
-
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
- NPI 1740033133
-
- Federally Qualified Health Center (FQHC)
- High Ridge, MO
- NPI 1750139473
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Nevada, MO
- NPI 1770811382
-
- Federally Qualified Health Center (FQHC)
- Arnold, MO
- NPI 1801215504
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, MO
- NPI 1801669320
-
dba Comtrea, Inc.
- Children's Substance Abuse Rehabilitation Facility
- Festus, MO
- NPI 1801925185
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clinton, MO
- NPI 1841140803
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joi Niedner | Corporate Officer | Jan 1, 2025 | |
| Dennis Daugherty | Corporate Officer | Jan 1, 2025 | |
| Rebecca Culler | Corporate Officer | Jan 1, 2025 | |
| Robert Dawson | Corporate Officer | Jan 1, 2025 | |
| Susan Bowles | Corporate Officer | Jan 1, 2025 | |
| Rodney Reid | Corporate Director | Jan 1, 2025 | |
| Teresa L Porter | W-2 Managing Employee | Dec 9, 2019 | |
| Shari Bax | Corporate Officer | Jan 1, 2025 | |
| Ross Henson | Corporate Officer | Jan 1, 2025 | |
| Tim Glasscock | Corporate Officer | Jan 1, 2025 | |
| Patricia Cleveland | Corporate Officer | Jan 1, 2025 | |
| Kathy Carter | Corporate Officer | Jan 1, 2025 | |
| Brian C Baker | Corporate Officer | Jan 1, 2025 | |
| Tim Alan Larimore | Corporate Officer | Jan 1, 2025 | |
| Leticia Villafain | Corporate Officer | Jan 1, 2025 | |
| Alan W Stevens | Corporate Officer | Dec 9, 2019 | 100% |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Compass Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 11, 2018 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571961600000",
"number": "1750924312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-890-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 BERRYWOOD DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016584",
"telephone_number": "888-403-1071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "660-890-8156"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
- Compass Health, Inc. (Family Dental Center Columbia East)
- Compass Health, Inc. (Family Dental Center)
- Compass Health, Inc. (McCambridge Center)
- Compass Health, Inc.
- Compass Health, Inc. (Family Health Center)
- Compass Health, Inc.
- Compass Health, Inc. (Family Health Center Columbia East)
- Compass Therapy Solutions
- Compassus HH of Missouri I, LLC (Compassus Home Health)
- Comprehensive Human Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.