Organization Active NPI

Rooted Family Counseling, PLLC

  • Professional Counselor
  • Cornelius, NC
National Provider Identifier
1164019592
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROOTED FAMILY COUNSELING, PLLC
Practice address
17105 Kenton Dr Ste 207C
Cornelius, NC 28031-5654
Phone
(704) 856-9570
NPI assigned
Dec 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Ms. Andrea Howard Miller, LCMHCSNPI 1104957216
Title
Director
Phone
(704) 856-9570

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

17105 Kenton Dr Ste 207C
Cornelius, NC 28031-5654

Mailing address

495 Chalk Maple Rd
China Grove, NC 28023-1508
Phone (704) 640-8921

National Provider Directory

National Provider Directory

Locations

17105 Kenton Dr
Ste 207C
Cornelius, NC 28031
Phone (704) 534-4283

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": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1164019592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CHALK MAPLE RD",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280231508",
            "telephone_number": "704-640-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 KENTON DR STE 207C",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315654",
            "telephone_number": "704-856-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-856-9570",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.