MEDICARE: COMPASSIONATE COUNSELING AND CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	101YP2500X	Professional Counselor
5	103K00000X	Behavior Analyst
6	103TA0400X	Addiction (Substance Use Disorder) Psychologist
7	103TA0700X	Adult Development & Aging Psychologist
8	103TC2200X	Clinical Child & Adolescent Psychologist
9	171M00000X	Case Manager/Care Coordinator
10	251B00000X	Case Management Agency
11	372500000X	Chore Provider
12	372600000X	Adult Companion
13	374U00000X	Home Health Aide
14	376J00000X	Homemaker
15	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1386484095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	1308 E COLORADO BLVD UNIT 3214
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1932
Country	:	US
Telephone Number	:	626-546-9783
Fax Number	:	866-378-2473

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 326
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3615
Country	:	US
Telephone Number	:	626-546-9783
Fax Number	:	866-378-2473

Authorized Official
Title or Position	:	CEO
Name	:	DR. RUTHA SMITH-CARR
Credential	:
Telephone Number	:	626-546-9783

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	05/30/2024

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