Organization Active NPI

Growing Roots Counseling, LLC

  • Professional Counselor
  • Napoleon, OH
National Provider Identifier
1417738790
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GROWING ROOTS COUNSELING, LLC
Practice address
820 Clairmont Ave
Napoleon, OH 43545-1237
Phone
(419) 966-6190
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Sydney Joelene Cramer-Bodenbender, LPCCNPI 1407492887
Title
Owner
Phone
(419) 966-6190

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

820 Clairmont Ave
Napoleon, OH 43545-1237

Mailing address

820 Clairmont Ave
Napoleon, OH 43545-1237
Phone (419) 966-6190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326004292 OH Part B Supplier - Clinic/Group Practice 0648617654 Receives reassigned benefits from 1 practitioner
Practice locations: Napoleon, OH

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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1417738790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CLAIRMONT AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451237",
            "telephone_number": "419-966-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CLAIRMONT AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451237",
            "telephone_number": "419-966-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING ROOTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "CRAMER-BODENBENDER",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "JOELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-966-6190",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.