Organization Active NPI

Rooted Relationships Counseling & Recovery, PLLC

  • Mental Health Counselor
  • Waxhaw, NC
National Provider Identifier
1093626988
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROOTED RELATIONSHIPS COUNSELING & RECOVERY, PLLC
Practice address
104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020
Phone
(704) 255-4708
Fax
(704) 255-4708
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Lisa A Bivens, LCMHCA, LCASANPI 1104762475
Title
Owner/Clinical Director
Phone
(704) 400-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020

Mailing address

841 Spring Oaks Dr
Matthews, NC 28104-5416
Phone (704) 400-1215

National Provider Directory

National Provider Directory

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": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1093626988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 SPRING OAKS DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281045416",
            "telephone_number": "704-400-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "704-255-4708",
            "fax_number": "704-255-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED RELATIONSHIPS COUNSELING & RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-400-1215",
        "authorized_official_credential": "LCMHCA, LCASA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.