NPIMap

Organization Active NPI

Compass Mental Health Consultants, LLC

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1861852907
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21539 Issued in MD
Legal business name
COMPASS MENTAL HEALTH CONSULTANTS, LLC
Practice address
11140 Rockville Pike
Suite 400
Rockville, MD 20852-3106
Phone
(240) 630-4048
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Perryn Gutkowski, LCSW-CNPI 1336340546
Title
Coo
Phone
(410) 551-2455

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 21539 MD Primary

Addresses

Primary practice location

11140 Rockville Pike
Suite 400
Rockville, MD 20852-3106

Mailing address

1762 Sea Pine Cir
Severn, MD 21144-1815
Phone (410) 551-2455

National Provider Directory

National Provider Directory
Tax ID family
Compass Mental Health Consultants LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1861852907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SEA PINE CIR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441815",
            "telephone_number": "410-551-2455",
            "fax_number": "866-422-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "address_2": "SUITE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "240-630-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS MENTAL HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "GUTKOWSKI",
        "authorized_official_first_name": "PERRYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-551-2455",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.