Roots and Branches Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROOTS AND BRANCHES COUNSELING LLC

Practice address

29 NW Greeley Ave
Bend, OR 97703-2911

Phone

(541) 241-2252

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karissa L Viebeck, LCSWNPI 1033644307

Title

Provider

Phone

(541) 241-2252

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karissa L Viebeck, LCSW

  • Clinical Social Worker
  • La Pine, OR
  • NPI 1033644307
  NPD Authorized official

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1255966131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61336 STARDRIFT DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022051",
            "telephone_number": "503-804-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032911",
            "telephone_number": "541-241-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND BRANCHES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "VIEBECK",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-241-2252",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rondeau
• Roberta June Rood - Hilliard
• Emily Jean Rood, CHW
• Sacha V Rood, LCSW
• Timothy Mark Roos, MD
• Roots Family Medicine LLC
• Roots Renewal Counseling, Inc
• Ken Roper
• Ana Rosabal
• Natalie Rose

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.