Uprooted Therapy a Licensed Clinical Social Worker Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UPROOTED THERAPY A LICENSED CLINICAL SOCIAL WORKER CORP

Doing business as

Chosen Christian Counseling

Practice address

2372 Morse Ave Ste 1135
Irvine, CA 92614-6234

Phone

(949) 998-6033

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Kaila Morrison, LCSW, MSWNPI 1801553268

Title

Ceo, Owner

Phone

(949) 998-6033

Specialties & licenses 2

Addresses

Other names 1

• Chosen Christian Counseling Doing business as

Locations

Practitioners 1

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

• Kaila Malane Morrison, MSW, LCSW

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1801553268
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1083459044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 MORSE AVE STE 1135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146234",
            "telephone_number": "949-998-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 MORSE AVE STE 1135",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146234",
            "telephone_number": "949-998-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPROOTED THERAPY A LICENSED CLINICAL SOCIAL WORKER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "KAILA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "949-998-6033",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chosen Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lance T. Uradomo, M.D.
• Stephanie Urbaniec, LCSW
• Elizabeth Urena, LCSW

• Mental Health Counselor in Irvine, CA
• Providers in Irvine, CA by specialty
• Mental Health Counselor in California

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