Organization Active NPI

Rooted in Love Counseling Services

  • Professional Counselor
  • Flint, MI
National Provider Identifier
1174073480
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014779 Issued in MI
Legal business name
ROOTED IN LOVE COUNSELING SERVICES
Practice address
3397 Windland Dr
Flint, MI 48504-1764
Phone
(810) 399-6603
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Samantha Renee Pillow, LLPC, CAADC
Title
Therapist/Owner
Phone
(810) 399-6603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401014779 MI Primary

Addresses

Primary practice location

3397 Windland Dr
Flint, MI 48504-1764

Mailing address

1308 Rae St
Mount Morris, MI 48458-1751
Phone (810) 399-6603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1174073480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 RAE ST",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581751",
            "telephone_number": "810-399-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 WINDLAND DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041764",
            "telephone_number": "810-399-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN LOVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "PILLOW",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "810-399-6603",
        "authorized_official_credential": "LLPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.