Neuro-Roots LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEURO-ROOTS LLC

Practice address

1001 S 35TH St
Manitowoc, WI 54220-5413

Phone

(920) 690-3955

NPI assigned

Mar 26, 2026

Organization subpart

No

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

Authorized official

Name

Jennifer Kalista, LPCNPI 1467163550

Title

Owner

Phone

(920) 242-0520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Ann Kalista, LPC

  • Professional Counselor
  • Sheboygan, WI
  • NPI 1467163550
  NPD Authorized official

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1225977911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 WESTWOOD LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201602",
            "telephone_number": "920-690-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 35TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205413",
            "telephone_number": "920-690-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "KALISTA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-242-0520",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Murphy, MD
• Jayne Nagel
• Anne M Neeb, APNP
• Todd A Nelson, M.D.
• Aniela Neuberger
• Amber Lynn Neuser, REGISTERED NURSE
• New Women'S Healthcare, SC
• Nancy Beth Ney, P.T.A.
• Thao Thi-Thanh Nguyen, DMD
• Rita Nigrelli

• Professional Counselor in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.