NPIMap

Organization Active NPI

Compass Behavioral Health, LLC

  • Mental Health Counselor
  • Fremont, OH
National Provider Identifier
1871101279
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMPASS BEHAVIORAL HEALTH, LLC
Doing business as
Compass Behavioral Health, LLC
Practice address
915 Croghan St
Fremont, OH 43420-2337
Phone
(419) 458-3100
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Mrs. Karen Lynn Raber, LPCC-SNPI 1710904362
Title
Partner
Phone
(419) 458-3100

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

915 Croghan St
Fremont, OH 43420-2337

Mailing address

915 Croghan St
Fremont, OH 43420-2337
Phone (419) 458-3100

Other names 1

  • Compass Behavioral Health, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103002079 OH Part B Supplier - Clinic/Group Practice 8426548017 Receives reassigned benefits from 4 practitioners
Practice locations: Fremont, OH

National Provider Directory

National Provider Directory

Locations

915 Croghan St
Fremont, OH 43420
Phone (419) 458-3100

Practitioners & affiliated clinicians

Practitioners 12

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1871101279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CROGHAN ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202337",
            "telephone_number": "419-458-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CROGHAN ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202337",
            "telephone_number": "419-458-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "RABER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-458-3100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.