Organization Active NPI

Rooted Nyc Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1275239931
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROOTED NYC MENTAL HEALTH COUNSELING PLLC
Practice address
300 6TH St Apt 1R
Brooklyn, NY 11215-7219
Phone
(973) 617-7628
NPI assigned
Feb 3, 2023
Last updated
Feb 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Authorized official

Name
Ms. Alexa Rose Wallerstein, LMHCNPI 1679227086
Title
Chief Executive Officer
Phone
(973) 617-7628

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

300 6TH St Apt 1R
Brooklyn, NY 11215-7219

Mailing address

300 6TH St Apt 1R
Brooklyn, NY 11215-7219
Phone (973) 617-7628

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1275239931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 6TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157219",
            "telephone_number": "973-617-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 6TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157219",
            "telephone_number": "973-617-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED NYC MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "WALLERSTEIN",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-617-7628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; 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.