NPIMap

Organization Active NPI

Healing Roots PLLC

  • Counselor
  • Naperville, IL
National Provider Identifier
1124804471
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HEALING ROOTS PLLC
Practice address
1755 Park St Ste 200
Naperville, IL 60563-8404
Phone
(331) 207-4045
NPI assigned
Sep 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Deborah Knight, LCPCNPI 1114371432
Title
Owner
Phone
(312) 799-0739

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1755 Park St Ste 200
Naperville, IL 60563-8404

Mailing address

7905 Knottingham Cir Apt B
Darien, IL 60561-4969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1124804471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 KNOTTINGHAM CIR APT B",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638404",
            "telephone_number": "331-207-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-799-0739",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.