NPIMap

Organization Active NPI

Grounded Roots Therapy

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1285301978
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROUNDED ROOTS THERAPY
Practice address
407 N Walsh St
Carson City, NV 89701-4268
Phone
(775) 298-6386
Fax
(775) 825-7244
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Victoria Smith, LCSWNPI 1205234366
Title
Owner
Phone
(775) 298-6386

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

407 N Walsh St
Carson City, NV 89701-4268

Mailing address

407 N Walsh St
Carson City, NV 89701-4268
Phone (775) 298-6386

Other identifiers 1

IdentifierTypeStateIssuer
250008966MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL vsmith@groundedrootstherapy.org

National Provider Directory

National Provider Directory

Locations

407 N Walsh St
Carson City, NV 89701
Phone (775) 298-6386

1650 US Highway 395 N
Ste 101B
Minden, NV 89423

840 I St
Ste 5
Sparks, NV 89431
Phone (775) 525-0680

Practitioners & affiliated clinicians

Practitioners 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1285301978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N WALSH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014268",
            "telephone_number": "775-298-6386",
            "fax_number": "775-825-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N WALSH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014268",
            "telephone_number": "775-298-6386",
            "fax_number": "775-825-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED ROOTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-298-6386",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250008966",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vsmith@groundedrootstherapy.org",
            "affiliation": "N",
            "address_1": "407 N Walsh St",
            "city": "Carson City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "897014268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.