Roots Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ROOTS COUNSELING LLC

Practice address

2401 Beech St Ste a
Valparaiso, IN 46383-6107

Phone

(219) 765-2836

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By 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. Nicole Ann Lentz, MS, LMFTNPI 1104552140

Title

Ceo

Phone

(219) 765-2836

Specialties & licenses 1

Addresses

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.

• Nicole Ann Lentz, LMFT

  • Marriage & Family Therapist
  • Oswego, IL
  • NPI 1104552140
  NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1447004049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BEECH ST STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836107",
            "telephone_number": "219-765-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BEECH ST STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836107",
            "telephone_number": "219-765-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-765-2836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.