Organization Active NPI

Root & Path LLC

Doing business as Root & Path

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bentonville, AR
National Provider Identifier
1427764851
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROOT & PATH LLC
Doing business as
Root & Path
Practice address
3401 SE Macy Rd Ste 13
Bentonville, AR 72712-7841
Phone
(479) 579-0280
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Jemma Coleman, ED. S. LMHC LMFT LPCNPI 1528226131
Title
Owner
Phone
(479) 579-0280

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3401 SE Macy Rd Ste 13
Bentonville, AR 72712-7841

Mailing address

9 Hathern LN
Bella Vista, AR 72714-4509
Phone (352) 225-1436

Other names 1

  • Root & Path Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1427764851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HATHERN LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727144509",
            "telephone_number": "352-225-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SE MACY RD STE 13",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127841",
            "telephone_number": "479-579-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JEMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-579-0280",
        "authorized_official_credential": "ED. S. LMHC LMFT LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Root & Path",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.