Roots and Wings Counseling Consultants, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ROOTS AND WINGS COUNSELING CONSULTANTS, LLC

Practice address

311 N 2ND St
Ste. 302
St Charles, IL 60174-1850

Phone

(630) 590-9360

Fax

(630) 590-9991

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Elba J Karim, LCPC, CCTP

Title

Owner

Phone

(630) 408-2170

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gracia Nosewicz

  • Professional Counselor
  • St Charles, IL
  • NPI 1134694961
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1114464559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST",
            "address_2": "STE. 302",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741850",
            "telephone_number": "630-590-9360",
            "fax_number": "630-590-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST",
            "address_2": "STE. 302",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741850",
            "telephone_number": "630-590-9360",
            "fax_number": "630-590-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND WINGS COUNSELING CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "ELBA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-408-2170",
        "authorized_official_credential": "LCPC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Rodriguez, FNP-BC
• Caitlin Rogers
• Yesenia Romero, RN
• Katherine Maria Romozzi, BCBA
• Rooted Mental Health Services PLLC
• Stacy Lee Rosas, LSW
• Jake Rosenfeldt
• Rosewood Care Center, Inc of St Charles
• Jennifer Lee Ross, LCSW
• Staci M Roth, OTR

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.