Organization Active NPI

Roots to Wings Counseling PLLC

  • Professional Counselor
  • Texarkana, TX
National Provider Identifier
1447824149
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROOTS TO WINGS COUNSELING PLLC
Practice address
1001 Texas Blvd Ste 106
Texarkana, TX 75501-5153
Phone
(903) 702-5001
Fax
(903) 306-0655
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Ms. Cyharra Anissa Meadors
Title
Office Manager
Phone
(903) 278-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1001 Texas Blvd Ste 106
Texarkana, TX 75501-5153

Mailing address

1001 Texas Blvd Ste 106
Texarkana, TX 75501-5153
Phone (903) 702-5001

National Provider Directory

National Provider Directory

Locations

1001 Texas Blvd
Ste 106
Texarkana, TX 75501
Phone (430) 342-2246

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1447824149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TEXAS BLVD STE 106",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015153",
            "telephone_number": "903-702-5001",
            "fax_number": "903-306-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TEXAS BLVD STE 106",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015153",
            "telephone_number": "903-702-5001",
            "fax_number": "903-306-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS TO WINGS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "MEADORS",
        "authorized_official_first_name": "CYHARRA",
        "authorized_official_middle_name": "ANISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-278-3314",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.