Active NPI
Grounding Root Therapy LLC
- Counselor
- River Edge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Mariano, LPC, LCADC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Counselor
- River Edge, NJ
- NPI 1053821173
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.