Healing Roots Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING ROOTS COUNSELING, LLC

Practice address

10791 Kitty Dr
Conifer, CO 80433-7747

Phone

(720) 805-6575

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Emily Balch, LCSWNPI 1922436385

Title

Owner

Phone

(720) 805-6575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healing Roots Counseling LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Balch, LCSW

  • Clinical Social Worker
  • Conifer, CO
  • NPI 1922436385

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1194437566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10791 KITTY DR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337747",
            "telephone_number": "720-805-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10791 KITTY DR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337747",
            "telephone_number": "720-805-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "BALCH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-805-6575",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215072343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Roots Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael P Handlin, DPT
• John Hart
• Joyce Harvey
• Virginia Frith Hayes, LPC, NCC
• Healing Homestead Colorado LLC
• Healing Traditions Bodywork, LLC
• Healthy Smiles Hygiene
• Healthy Smiles Hygiene
• Brian Phillip Hendrickson, D.M.D.
• Marjorie A Herweyer, RPT

• All providers in Conifer, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.