MEDICARE: COMPASSIONATE COUNSELING PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1962365676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	6087 S QUEBEC ST STE 203
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80111-4539
Country	:	US
Telephone Number	:	720-383-4881
Fax Number	:	720-684-0569

Provider Business Practice Location Address
First Line	:	6087 S QUEBEC ST STE 203
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80111-4539
Country	:	US
Telephone Number	:	720-383-4881
Fax Number	:	720-684-0569

Authorized Official
Title or Position	:	THERAPIST
Name	:	AMANDA NICOLE BICKEL
Credential	:	LCSW
Telephone Number	:	720-383-4881

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/14/2025

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