Organization Active NPI

Rooted Life Counseling Center, LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1205488335
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ROOTED LIFE COUNSELING CENTER, LLC
Practice address
9067 W Post Rd Unit A2
Las Vegas, NV 89148-2440
Phone
(702) 820-8843
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Klover Kallas, LMFCT
Title
Owner
Phone
(702) 820-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

9067 W Post Rd Unit A2
Las Vegas, NV 89148-2440

Mailing address

9067 W Post Rd Unit A2
Las Vegas, NV 89148-2440
Phone (702) 820-8843

National Provider Directory

National Provider Directory

Locations

9067 W Post Rd
Unit A2
Las Vegas, NV 89148
Phone (702) 820-8843

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": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1205488335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9067 W POST RD UNIT A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482440",
            "telephone_number": "702-820-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9067 W POST RD UNIT A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482440",
            "telephone_number": "702-820-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED LIFE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "KLOVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-820-8843",
        "authorized_official_credential": "LMFCT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.