Organization Active NPI

Root Issues Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
National Provider Identifier
1104562123
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ROOT ISSUES COUNSELING LLC
Practice address
207 E Northern Lights Blvd Ste 125
Anchorage, AK 99503-2777
Phone
(907) 240-9828
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Misty Phillips
Title
Billing Manager
Phone
(907) 203-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

207 E Northern Lights Blvd Ste 125
Anchorage, AK 99503-2777

Mailing address

4325 Laurel St Ste 100
Anchorage, AK 99508-5364
Phone (907) 917-2115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@collaborativeos.com Direct Collaborative Office Solutions LLC

National Provider Directory

National Provider Directory

Locations

207 E Northern Lights Blvd
Ste 125
Anchorage, AK 99503
Phone (907) 240-9828

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": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1104562123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085364",
            "telephone_number": "907-917-2115",
            "fax_number": "907-917-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD STE 125",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032777",
            "telephone_number": "907-240-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT ISSUES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-203-8600"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@collaborativeos.com",
            "affiliation": "Y",
            "endpointDescription": "credentialing email",
            "affiliationName": "Collaborative Office Solutions LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "207 E Northern Lights Blvd Ste 125",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995032777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.