NPIMap

Organization Active NPI

Enduring Roots Wellness LLC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1255189296
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ENDURING ROOTS WELLNESS LLC
Practice address
5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone
(301) 228-0996
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Ms. Pamela Stephen, LCPC, LPCNPI 1184058323
Title
Owner
Phone
(636) 219-9388

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296

Mailing address

5457 Twin Knolls Road #1047
Suite 300
Columbia, MD 21045

National Provider Directory

National Provider Directory

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1255189296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS ROAD #1047",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "301-228-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURING ROOTS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-219-9388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.