Organization Active NPI

Uproot Progressive, Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • Manteca, CA
National Provider Identifier
1114859808
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
UPROOT PROGRESSIVE, MARRIAGE AND FAMILY THERAPY, INC.
Practice address
786 Button Ave
Manteca, CA 95336-8593
Phone
(209) 278-5188
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Eric D Williams, LMFTNPI 1578193652
Title
Ceo
Phone
(716) 410-6552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

786 Button Ave
Manteca, CA 95336-8593

Mailing address

863 Mission Ridge Dr
Manteca, CA 95337-8006
Phone (716) 410-6552

National Provider Directory

National Provider Directory

Locations

786 Button Ave
Manteca, CA 95336
Phone (209) 278-5188

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": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1114859808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 MISSION RIDGE DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378006",
            "telephone_number": "716-410-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 BUTTON AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953368593",
            "telephone_number": "209-278-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPROOT PROGRESSIVE, MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-410-6552",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.