Rooted Therapeutic Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROOTED THERAPEUTIC SERVICES, PLLC

Practice address

10337 Elven LN
Charlotte, NC 28269-6964

Phone

(704) 989-3459

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Vonetta Butler Blakely, LCSW, LISW-CPNPI 1083219588

Title

Owner

Phone

(704) 989-3459

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Vonetta Butler Blakely, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1083219588
  NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1043880149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10337 ELVEN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696964",
            "telephone_number": "704-989-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10337 ELVEN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696964",
            "telephone_number": "704-989-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "VONETTA",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-989-3459",
        "authorized_official_credential": "LCSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083219588",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vonetta@rootedtherapeuticservices.com",
            "affiliation": "N",
            "endpointDescription": "Professional HIPAA Compliant Email System",
            "address_1": "10337 Elven Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282696964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard John Roode, PA
• Stephanie Joy Roofner, M.A., L.P.C.A
• Sara Jane Root, FNP-C
• Rooted and Rising Counseling PLLC
• Rooted in Healing Counseling Services PLLC
• Rooted Therapy P.C.
• Roper Physical Therapy, Inc.
• Christine Kindlin Roper, M.S.P.T.
• Jenna Hanlon Roper, MA, CCC/SLP
• Karis Kevorkian Roper, PA-C

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.