Active NPI
Roots of Purpose LLC
- Community/Behavioral Health Agency
- Deridder, LA
National Provider Identifier
1184535239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ROOTS OF PURPOSE LLC
- Practice address
- 430 Milton Reid Rd
Deridder, LA 70634-8142 - Phone
- (512) 789-2889
- NPI assigned
- Sep 16, 2026
- 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
- Kacee Kieth Jackson
- Title
- Ceo
- Phone
- (512) 789-2889
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
430 Milton Reid Rd
Deridder, LA 70634-8142
Mailing address
1401 Lavaca St # 366
Austin, TX 78701-1634
Phone (512) 789-2833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1184535239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 LAVACA ST # 366",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011634",
"telephone_number": "512-789-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MILTON REID RD",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706348142",
"telephone_number": "512-789-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTS OF PURPOSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "KACEE",
"authorized_official_middle_name": "KIETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-789-2889"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.