Active NPI
Elizabeth Root Ma, LMFT
- Mental Health Counselor
- Shakopee, MN
National Provider Identifier
1174362552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ELIZABETH ROOT MA, LMFT
- Practice address
- 8170 Old Carriage CT Ste 200
Shakopee, MN 55379-3169 - Phone
- (612) 385-6137
- NPI assigned
- May 23, 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
- Justin Parker
- Title
- Office Manager
- Phone
- (865) 384-0318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
8170 Old Carriage CT Ste 200
Shakopee, MN 55379-3169
Mailing address
8170 Old Carriage CT Ste 200
Shakopee, MN 55379-3169
Phone (612) 385-6137
National Provider Directory
National Provider DirectoryLocations
8170 Old Carriage Ct
Ste 200
Shakopee, MN 55379
Phone (507) 530-3852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1174362552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 OLD CARRIAGE CT STE 200",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793169",
"telephone_number": "612-385-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8170 OLD CARRIAGE CT STE 200",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793169",
"telephone_number": "612-385-6137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH ROOT MA, LMFT",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-23",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "865-384-0318"
},
"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 Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.