Rooted Recovery and Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROOTED RECOVERY AND WELLNESS, LLC

Practice address

5418 N Eagle Rd Ste 160
Boise, ID 83713-0100

Phone

(541) 844-3577

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Katherine Lynn Fraser, MS, LPCNPI 1548587629

Title

Executive Director

Phone

(888) 455-1642

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Lynn Fraser, B.S.

  • Counselor
  • Portland, OR
  • NPI 1548587629
  NPD Authorized official
• Caley Featherstone, M.S.

  • Mental Health Counselor
  • Boise, ID
  • NPI 1629501788
  NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1023735321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85835 ALLBRITAIN LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974058403",
            "telephone_number": "541-972-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 N EAGLE RD STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130100",
            "telephone_number": "541-844-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED RECOVERY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-455-1642",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger G Roos, MD
• Theodore Steven Roosevelt, M.D.
• Laura E Root, LCSW
• Rachel Anne Root, PHD
• Timothy John Root, D.C.
• Rooted Resilience Wellness PLLC
• Roots Ecotherapy LLC
• Roots Support Services
• J Clayton Roscoe, M.D.
• Janet K Roscoe, NP

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.