Wise & Rooted Counseling and Therapy

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WISE & ROOTED COUNSELING AND THERAPY

Practice address

1050 S 11TH St
Beaumont, TX 77701-4739

Phone

(409) 202-3107

NPI assigned

Aug 2, 2022

Last updated

Mar 27, 2023By 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

Mrs. Shukia N Relford, MA, LCDC-INPI 1568042570

Title

Program Administrator

Phone

(409) 273-4172

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: admin@wiseandrooted.com

Practitioners 2

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.

• Shukia Nicole Relford, MA, LCDC-I

  • Case Manager/Care Coordinator
  • Beaumont, TX
  • NPI 1568042570
  NPD Authorized official
• Daphne Dione Jones, M.ED., LPC-S

  • Professional Counselor
  • Beaumont, TX
  • NPI 1578079455
  NPD

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1295462174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2968",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777042968",
            "telephone_number": "409-877-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014739",
            "telephone_number": "409-202-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE & ROOTED COUNSELING AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "RELFORD",
        "authorized_official_first_name": "SHUKIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "409-273-4172",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCDC-I"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451638701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@wiseandrooted.com",
            "affiliation": "N",
            "endpointDescription": "Admin@wiseandrooted.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1327 W Virginia St",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Amber Marcia Woods, LPC
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• Case Management Agency in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.