Deep Roots Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEEP ROOTS COUNSELING, LLC

Practice address

2831 Accomac St
Saint Louis, MO 63104-2239

Phone

(314) 325-4969

Fax

(314) 325-4969

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Taylore Q Qaoud, MA, LPC, NCCNPI 1346621794

Title

Therapist

Phone

(314) 325-4969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Taylore Qaoud, MA, LPC, NCC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1346621794
  NPD Authorized official

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1144788225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 ACCOMAC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042239",
            "telephone_number": "314-325-4969",
            "fax_number": "314-325-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 ACCOMAC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042239",
            "telephone_number": "314-325-4969",
            "fax_number": "314-325-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP ROOTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "QAOUD",
        "authorized_official_first_name": "TAYLORE",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-325-4969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.