NPIMap

Organization Active NPI

Rooted & Restored Counseling, LLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1336768688
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTED & RESTORED COUNSELING, LLC
Practice address
230 E Town St Ste 210
Columbus, OH 43215-4657
Phone
(614) 412-1002
Fax
(614) 358-9792
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Rebecca Martin
Title
Owner
Phone
(614) 721-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

230 E Town St Ste 210
Columbus, OH 43215-4657

Mailing address

230 E Town St Ste 210
Columbus, OH 43215-4657
Phone (614) 412-1002

Other practice location 1

1350 W 5th Ave Ste 300
Columbus, OH 43212-2907
Phone (614) 412-1002

Other identifiers 1

IdentifierTypeStateIssuer
1336768688MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca@rootedandrestored.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250710000730 OH Part B Supplier - Clinic/Group Practice 2365956471 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

620 Alum Creek Dr
Columbus, OH 43205
Phone (330) 969-9208

230 E Town St
Ste 210
Columbus, OH 43215
Phone (614) 412-1002

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1336768688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E TOWN ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154657",
            "telephone_number": "614-412-1002",
            "fax_number": "614-358-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E TOWN ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154657",
            "telephone_number": "614-412-1002",
            "fax_number": "614-358-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 W 5th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432122907",
            "country_code": "US",
            "telephone_number": "614-412-1002",
            "fax_number": "614-358-9792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTED & RESTORED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2022-08-24",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-721-5920"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336768688",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@rootedandrestored.org",
            "affiliation": "N",
            "address_1": "230 E Town St Ste 210",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.