Organization Active NPI

Strong Roots & Resilient Minds Therapy

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1184411662
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STRONG ROOTS & RESILIENT MINDS THERAPY
Practice address
12510 NW Lynch LN
Port St Lucie, FL 34987-3055
Phone
(908) 547-9219
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Salisa Jackson GarrandNPI 1013605377
Title
Owner
Phone
(908) 547-9219

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12510 NW Lynch LN
Port St Lucie, FL 34987-3055

Mailing address

12510 NW Lynch LN
Port St Lucie, FL 34987-3055
Phone (908) 547-9219

National Provider Directory

National Provider Directory

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": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1184411662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 NW LYNCH LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349873055",
            "telephone_number": "908-547-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 NW LYNCH LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349873055",
            "telephone_number": "908-547-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG ROOTS & RESILIENT MINDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON GARRAND",
        "authorized_official_first_name": "SALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-547-9219"
    },
    "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 Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.