Organization Active NPI

Compassion Counseling and Psychological Services, LLC

  • Clinical Psychologist
  • Ashland, VA
National Provider Identifier
1831769264
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COMPASSION COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Practice address
9671 Sliding Hill Rd
Ashland, VA 23005-7989
Phone
(804) 380-2775
NPI assigned
Jun 28, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stephanie McNamara
Title
Credentialing Manager
Phone
(804) 221-2042

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211018000187 VA Part B Supplier - Clinic/Group Practice 1456759778 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, VA

National Provider Directory

National Provider Directory

Locations

9671 Sliding Hill Rd
Ashland, VA 23005
Phone (804) 380-2775

9671 Sliding Hill Rd
Ste 204
Ashland, VA 23005
Phone (804) 221-2042

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

9671 Sliding Hill Rd
Ashland, VA 23005-7989

Mailing address

9671 Sliding Hill Rd
Ashland, VA 23005-7989

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1659741171MedicaidVA

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address davidguion@hotmail.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2021.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1831769264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 SLIDING HILL RD",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 SLIDING HILL RD",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057989",
            "telephone_number": "804-380-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "804-221-2042"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659741171",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidguion@hotmail.com",
            "affiliation": "N",
            "address_1": "9671 Sliding Hill Rd",
            "city": "Ashland",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230057989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.