Active NPI
Rooted Mind & Body
- Mental Health Counselor
- Driggs, ID
National Provider Identifier
1124863147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ROOTED MIND & BODY
- Practice address
- 245 E Ashley Ave
Driggs, ID 83422-5210 - Phone
- (541) 279-5602
- NPI assigned
- Jul 1, 2024
- Last updated
- Jul 1, 2024
- 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
- Rachel Mackey
- Title
- Owner
- Phone
- (541) 279-5602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
245 E Ashley Ave
Driggs, ID 83422-5210
Mailing address
245 E Ashley Ave
Driggs, ID 83422-5210
Phone (541) 279-5602
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Driggs, ID
- NPI 1528725884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1124863147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E ASHLEY AVE",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225210",
"telephone_number": "541-279-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E ASHLEY AVE",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225210",
"telephone_number": "541-279-5602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED MIND & BODY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "MACKEY",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-279-5602"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.