Organization Active NPI

Soulfully Rooted Wellness PLLC

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1013653187
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULFULLY ROOTED WELLNESS PLLC
Practice address
4324 Mapleshade LN # 248
Plano, TX 75093-0050
Phone
(469) 333-1596
NPI assigned
May 10, 2022
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Courtney ButtsNPI 1972174548
Title
Owner
Phone
(469) 333-1596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4324 Mapleshade LN # 248
Plano, TX 75093-0050

Mailing address

4324 Mapleshade LN # 248
Plano, TX 75093-0050
Phone (469) 333-1596

National Provider Directory

National Provider Directory

Locations

4324 Mapleshade Ln
#248
Plano, TX 75093
Phone (469) 333-1596

2100 Alamo Rd
Ste T
Richardson, TX 75080
Phone (210) 802-6841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1013653187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN # 248",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "469-333-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN # 248",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "469-333-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFULLY ROOTED WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-333-1596"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.