| Compass Counseling, Llc | |
|
2204 Kentucky Ave Paducah KY 42003-3242 | |
| (270) 777-4490 | |
| (866) 441-1083 |
| Full Name | Compass Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2204 Kentucky Ave, Paducah, Kentucky |
| Authorized Official Name and Position | Kathryn Englert (OWNER) |
| Authorized Official Contact | 2707774490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Counseling, Llc 2204 Kentucky Ave Paducah KY 42003-3242 Ph: (270) 777-4490 | Compass Counseling, Llc 2204 Kentucky Ave Paducah KY 42003-3242 Ph: (270) 777-4490 |
| NPI Number | 1629478250 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 4284998626 |
|---|---|
| Medicare Enrollment ID | O20180510001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629478250 | NPI | - | NPPES |
| 7100315850 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1395 (Kentucky) | Primary |
| Provider Name | Jeffrey T Wylie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811505548 PECOS PAC ID: 5294152781 Enrollment ID: I20200828001624 |
| Provider Name | Leta Jeanette Norman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184951253 PECOS PAC ID: 8426409095 Enrollment ID: I20240108004747 |
| Provider Name | Katelyn Elizabeth Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285177477 PECOS PAC ID: 3173975042 Enrollment ID: I20240116002718 |
| Provider Name | Scott Brian Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447739818 PECOS PAC ID: 9133571813 Enrollment ID: I20240118000927 |
| Provider Name | Allyson Maree Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740755461 PECOS PAC ID: 1951753193 Enrollment ID: I20240123004054 |
| Provider Name | Olivia Langham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134518715 PECOS PAC ID: 4789037870 Enrollment ID: I20240124004543 |
| Provider Name | Leslie Donner |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1124688890 PECOS PAC ID: 9739419250 Enrollment ID: I20240208003728 |
| Provider Name | Haley Payne Buck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568001618 PECOS PAC ID: 9133565724 Enrollment ID: I20240305004277 |
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