Active NPI
Rooted Relationships Counseling & Recovery, PLLC
- Mental Health Counselor
- Waxhaw, NC
National Provider Identifier
1093626988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2026
- 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
- Lisa A Bivens, LCMHCA, LCASA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Matthews, NC
- NPI 1104762475
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.