Roots and Rays Creative Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROOTS AND RAYS CREATIVE COUNSELING, LLC

Practice address

10421 S Church St
Chicago, IL 60643-2940

Phone

(708) 572-3801

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Foreman

Title

Credentailing

Phone

(630) 313-0069

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Anne Marie Novotny, LPC

  • Professional Counselor
  • Evergreen Park, IL
  • NPI 1538707559
  NPD
• Trissa Dodson, LMHC-QS, LCPC, ATR

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1316678154
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1114669850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 S CHURCH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 S CHURCH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432940",
            "telephone_number": "708-572-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND RAYS CREATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CREDENTAILING",
        "authorized_official_telephone_number": "630-313-0069"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Lynn Roper, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.