Organization Active NPI

Rooted in Healing Counseling Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
National Provider Identifier
1215668652
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROOTED IN HEALING COUNSELING SERVICES PLLC
Practice address
3020 Prosperity Church Rd Ste 1024
Charlotte, NC 28269-7197
Phone
(614) 946-9862
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Proncee Matthews, LCSWNPI 1780124230
Title
Owner
Phone
(614) 946-9862

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3020 Prosperity Church Rd Ste 1024
Charlotte, NC 28269-7197

Mailing address

3020 Prosperity Church Rd Ste 1024
Charlotte, NC 28269-7197
Phone (614) 946-9862

National Provider Directory

National Provider Directory

Locations

3020 Prosperity Church Rd
Ste 1024
Charlotte, NC 28269
Phone (614) 946-9862

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": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1215668652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 PROSPERITY CHURCH RD STE 1024",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697197",
            "telephone_number": "614-946-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 PROSPERITY CHURCH RD STE 1024",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697197",
            "telephone_number": "614-946-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN HEALING COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "PRONCEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-946-9862",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.