Organization Active NPI

Grounded Roots Psychotherapy

  • Mental Health Counselor
  • Falls Church, VA
National Provider Identifier
1427835834
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROUNDED ROOTS PSYCHOTHERAPY
Practice address
3015 Nicosh Cir
Falls Church, VA 22042-1235
Phone
(703) 828-5699
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Samantha Wright, LPCNPI 1477945970
Title
Owner, Mental Health Clinician
Phone
(703) 828-5699

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3015 Nicosh Cir
Falls Church, VA 22042-1235

Mailing address

4106 Via del Rey
Oceanside, CA 92057-6474
Phone (203) 506-3502

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1427835834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 VIA DEL REY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576474",
            "telephone_number": "203-506-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 NICOSH CIR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421235",
            "telephone_number": "703-828-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED ROOTS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "703-828-5699",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

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