Organization Active NPI

Compass Child Counseling, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Bettendorf, IA
National Provider Identifier
1861913196
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COMPASS CHILD COUNSELING, LLC
Practice address
2395 Tech Dr Ste 9
Bettendorf, IA 52722-3277
Phone
(563) 676-0718
NPI assigned
Jun 27, 2017
Last updated
Jun 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Authorized official

Name
Jenna Chumbley, LISW
Title
Owner/Lisw
Phone
(217) 370-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

2395 Tech Dr Ste 9
Bettendorf, IA 52722-3277

Mailing address

2917 27TH Avenue a
Moline, IL 61265-6920
Phone (217) 370-7711

National Provider Directory

National Provider Directory

Locations

2395 Tech Dr
Ste 9
Bettendorf, IA 52722
Phone (563) 484-1802

2435 Kimberly Rd
Ste 75S
Bettendorf, IA 52722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1861913196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 27TH AVENUE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656920",
            "telephone_number": "217-370-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 TECH DR STE 9",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223277",
            "telephone_number": "563-676-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS CHILD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "CHUMBLEY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER/LISW",
        "authorized_official_telephone_number": "217-370-7711",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.