MEDICARE: COMPASSIONCOALITION, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1891666749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONCOALITION, INC

Provider Business Mailing Address
First Line	:	6187 NOCKENUT RD
Second Line	:
City	:	SEGUIN
State	:	TX
Zip	:	78155-7865
Country	:	US
Telephone Number	:	210-544-3262
Fax Number	:

Provider Business Practice Location Address
First Line	:	6187 NOCKENUT RD
Second Line	:
City	:	SEGUIN
State	:	TX
Zip	:	78155-7865
Country	:	US
Telephone Number	:	210-544-3262
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RENAY WEST
Credential	:	MS
Telephone Number	:	210-544-3262

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	03/10/2026

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