| Compass Counseling Services, Llc | |
|
1400 N Semoran Blvd Ste E Orlando FL 32807-3562 | |
| (407) 823-8421 | |
| Not Available |
| Full Name | Compass Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1400 N Semoran Blvd Ste E, Orlando, Florida |
| Authorized Official Name and Position | Jorge Lopez (PRESIDENT) |
| Authorized Official Contact | 4072856691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Counseling Services, Llc 1400 N Semoran Blvd Orlando FL 32807-3536 Ph: (407) 823-8421 | Compass Counseling Services, Llc 1400 N Semoran Blvd Ste E Orlando FL 32807-3562 Ph: (407) 823-8421 |
| NPI Number | 1891089421 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 1456518612 |
|---|---|
| Medicare Enrollment ID | O20120131000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891089421 | NPI | - | NPPES |
| FS972A | Other | FL | MEDICARE PTAN |
| 011938000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Madeline Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548504129 PECOS PAC ID: 0143467076 Enrollment ID: I20140211001479 |
| Provider Name | Marie Ange Adolphe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881993863 PECOS PAC ID: 9436378759 Enrollment ID: I20140919000069 |
| Provider Name | Debbie-ann P Anderson-delaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851493 PECOS PAC ID: 8921228255 Enrollment ID: I20141008000969 |
| Provider Name | Jennifer L Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619919594 PECOS PAC ID: 8325363237 Enrollment ID: I20150218000947 |
| Provider Name | Roberta Ann Wildblood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902298250 PECOS PAC ID: 0840517421 Enrollment ID: I20150318002596 |
| Provider Name | Nellie O'farrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710934492 PECOS PAC ID: 8325044613 Enrollment ID: I20151029002739 |
| Provider Name | Juan Carlos Salazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922041995 PECOS PAC ID: 5395800932 Enrollment ID: I20151228000645 |
| Provider Name | Concepcion Barreto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932236601 PECOS PAC ID: 9133411531 Enrollment ID: I20160705001812 |
| Provider Name | Miguel Melendez Munoz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245216522 PECOS PAC ID: 4587628045 Enrollment ID: I20170428000617 |
| Provider Name | Ingrid Leticia Casas Dolz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255495412 PECOS PAC ID: 0941458061 Enrollment ID: I20171219000140 |
| Provider Name | Japhet Gaztambide |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215074331 PECOS PAC ID: 9032022538 Enrollment ID: I20180220002571 |
| Provider Name | Luz Restrepo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023410115 PECOS PAC ID: 7719203660 Enrollment ID: I20180307001051 |
| Provider Name | Roger I Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697715 PECOS PAC ID: 7214284181 Enrollment ID: I20180724001027 |
| Provider Name | Frainelys Cruz Montanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699265900 PECOS PAC ID: 7113346990 Enrollment ID: I20200928002554 |
| Provider Name | Stacey Andrea Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689176976 PECOS PAC ID: 5294155727 Enrollment ID: I20201021002166 |
| Provider Name | Jeerika Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801482260 PECOS PAC ID: 4385052810 Enrollment ID: I20210421001254 |
| Provider Name | Wendy Alejandra Sanchez Quiroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982291100 PECOS PAC ID: 6002282407 Enrollment ID: I20221025003529 |
| Provider Name | Irene Brassard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093414971 PECOS PAC ID: 2264807585 Enrollment ID: I20230418002048 |
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