Organization Active NPI

Roots and Reflections Counseling LLC

  • Professional Counselor
  • Floyd, VA
National Provider Identifier
1104621085
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROOTS AND REFLECTIONS COUNSELING LLC
Practice address
209 W Main St
Floyd, VA 24091-3190
Phone
(540) 529-8543
Fax
(540) 378-6044
NPI assigned
Feb 15, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Maria Weaver
Title
Office Manager
Phone
(540) 529-8543

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821002070 VA Part B Supplier - Clinic/Group Practice 2062912330 Receives reassigned benefits from 1 practitioner
Practice locations: Floyd, VA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

209 W Main St
Floyd, VA 24091-3190

Mailing address

PO Box 13
Floyd, VA 24091-0013
Phone (540) 529-8543

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1104621085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240910013",
            "telephone_number": "540-529-8543",
            "fax_number": "540-378-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240913190",
            "telephone_number": "540-529-8543",
            "fax_number": "540-378-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND REFLECTIONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-529-8543"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floyd, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.