Organization Active NPI

Grounding Root Therapy LLC

  • Counselor
  • River Edge, NJ
National Provider Identifier
1033629167
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GROUNDING ROOT THERAPY LLC
Practice address
1060 Main St Ste 200a
River Edge, NJ 07661-2591
Phone
(973) 876-6902
NPI assigned
Oct 3, 2017
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Michael Mariano, LPC, LCADCNPI 1053821173
Title
Owner
Phone
(973) 876-6902

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Substance Abuse Rehabilitation Facility 324500000X 37LC00237300 NJ

Addresses

Primary practice location

1060 Main St Ste 200a
River Edge, NJ 07661-2591

Mailing address

1060 Main St Ste 200a
River Edge, NJ 07661-2591
Phone (973) 876-6902

National Provider Directory

National Provider Directory

Locations

660 Kinderkamack Rd
Ste 205
Oradell, NJ 07649

1060 Main St
Ste 200A
River Edge, NJ 07661
Phone (973) 876-6902

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": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1033629167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 200A",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "973-876-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 200A",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "973-876-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDING ROOT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-876-6902",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "37LC00237300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.