Therapeutic Roots Behavioral Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THERAPEUTIC ROOTS BEHAVIORAL HEALTH

Practice address

5808 McLeod Rd NE Ste P
Albuquerque, NM 87109-2468

Phone

(505) 228-1670

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Sanderson, LPCCNPI 1780058115

Title

Owner

Phone

(505) 228-1670

Specialties & licenses 1

Addresses

Other names 1

• Michelle Sanderson Other name

Practitioners 1

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

• Michelle Sanderson, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1780058115
  NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1255103644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DRAGOON RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144475",
            "telephone_number": "505-228-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 MCLEOD RD NE STE P",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092468",
            "telephone_number": "505-228-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ROOTS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-228-1670",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Sanderson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michelle Sanderson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Theodore L Varoz DPM
• Kai Marie Theophilus, LMT
• Therapeutic Innovations Physical Therapy, Inc.
• Therapeutic Living Services, Inc.
• Therapeutic Massage Associates, LLC
• Therapy Advocacy & Outreach Inc
• Therapy Consultants of New Mexico
• Bethany Elizabeth Theus, MS, CCC-SLP
• Shay Thewes, OD
• Theyjas

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.