Compassionate Counseling and Consulting Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COMPASSIONATE COUNSELING AND CONSULTING SERVICES, LLC

Practice address

1540 Center Point Pkwy Ste 202
Birmingham, AL 35215-5666

Phone

(205) 821-6754

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Tyshelle Wilson, LICSWNPI 1104333244

Title

Social Worker/Therapist

Phone

(205) 821-6754

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tyshelle Wilson

  • Clinical Social Worker
  • Birmingham, AL
  • NPI 1104333244
  NPD Authorized official

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1932860061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7028 CHATHAM DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732414",
            "telephone_number": "205-821-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CENTER POINT PKWY STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155666",
            "telephone_number": "205-821-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TYSHELLE",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "205-821-6754",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Adult Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.