Provider Demographics
NPI:1194130500
Name:COMPASS COUNSELING OF RI
Entity type:Organization
Organization Name:COMPASS COUNSELING OF RI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:P
Authorized Official - Last Name:MURACA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-234-4829
Mailing Address - Street 1:17 ASHTON PKWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-4827
Mailing Address - Country:US
Mailing Address - Phone:401-234-4829
Mailing Address - Fax:401-404-4682
Practice Address - Street 1:17 ASHTON PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-4827
Practice Address - Country:US
Practice Address - Phone:401-234-4829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW02811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1417029851Medicaid
RI1417029851OtherNPI TYPE 1 141029851
RI1417029851Medicare PIN
RI1417029851Medicare Oscar/Certification