Active NPI
Root of It LLC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1124782016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ROOT OF IT LLC
- Practice address
- 11580 W Dodge Rd
Omaha, NE 68154-2537 - Phone
- (402) 238-1431
- Fax
- (402) 281-1862
- NPI assigned
- Oct 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Perry Root Sr.
- Title
- Owner
- Phone
- (402) 215-7327
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11580 W Dodge Rd
Omaha, NE 68154-2537
Mailing address
11580 W Dodge Rd
Omaha, NE 68154-2537
Phone (402) 238-1431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11580 W Dodge Rd
Omaha, NE 68154
Phone (402) 238-1431
11218 John Galt Blvd
Ste 102
Omaha, NE 68137
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Omaha, NE
- NPI 1417415621
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1124782016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11580 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542537",
"telephone_number": "402-238-1431",
"fax_number": "402-281-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11580 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542537",
"telephone_number": "402-238-1431",
"fax_number": "402-281-1862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOT OF IT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "ROOT",
"authorized_official_first_name": "PERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-215-7327",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.