NPIMap

Organization Active NPI

Fresh Roots, Inc.

Doing business as Fresh Roots Family Counseling

  • Marriage & Family Therapist
  • Rogers, AR
National Provider Identifier
1053479634
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M9710002 Issued in AR
Legal business name
FRESH ROOTS, INC.
Doing business as
Fresh Roots Family Counseling
Practice address
318 W Poplar St
Rogers, AR 72756-4559
Phone
(479) 986-8655
Fax
(479) 633-9398
NPI assigned
Dec 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Dell Christy Tyson, RN, MA, LMFT, LPC
Title
Co-Director
Phone
(479) 986-8655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P9201002 AR
Marriage & Family Therapist 106H00000X M9710002 AR Primary

Addresses

Primary practice location

318 W Poplar St
Rogers, AR 72756-4559

Mailing address

318 W Poplar St
Rogers, AR 72756-4559
Phone (479) 986-8655

Other names 1

  • Fresh Roots Family Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fresh Roots Family Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

318 W Poplar St
Rogers, AR 72756
Phone (479) 986-3655

Practitioners & affiliated clinicians

Practitioners 6

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053479634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564559",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564559",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH ROOTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "DELL",
        "authorized_official_middle_name": "CHRISTY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "479-986-8655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MA, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9201002",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M9710002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Roots Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.