Well Rooted Life LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELL ROOTED LIFE LLC

Practice address

6424 E Greenway Pkwy Ste 145
Scottsdale, AZ 85254-2045

Phone

(602) 833-2019

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Kirsten Powell, LCSWNPI 1003350844

Title

Ceo

Phone

(602) 833-2019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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

• Kirsten Powell, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
  • NPI 1003350844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1245727650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 E GREENWAY PKWY STE 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542045",
            "telephone_number": "602-833-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E GREENWAY PKWY STE 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542045",
            "telephone_number": "602-833-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ROOTED LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-833-2019",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Marie Welker, PH.D.
• Well Adjusted Chiropractic LLC
• Well Heeled Adult Care 68 Place, LLC
• Well Heeled Adult Care 71 Street
• Well Heeled Adult Care Sweetwater LLC
• Well Street
• Well Therapy
• Emily E Wellerritter, ANP
• Kaci Wellik, OTD, OTR/L
• Sebastian Espinosa Welling, MD

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.