Organization Active NPI

Rooted Hope Counseling and Consulting PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, AR
National Provider Identifier
1467025783
Registry record updated Jul 23, 2021
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
ROOTED HOPE COUNSELING AND CONSULTING PLC
Practice address
3408 W Fairfax St
Fayetteville, AR 72704-5373
Phone
(479) 871-4595
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Shannon Elaine Newton, LPCNPI 1821477548
Title
Counselor
Phone
(479) 871-4595

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

3408 W Fairfax St
Fayetteville, AR 72704-5373

Mailing address

3408 W Fairfax St
Fayetteville, AR 72704-5373
Phone (479) 871-4595

Other practice location 1

3408 W Fairfax St
Fayetteville, AR 72704-5373
Phone (479) 871-4595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316002639 AR Part B Supplier - Clinic/Group Practice 9234612409 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

19 E Mountain St
Ste 27
Fayetteville, AR 72701
Phone (479) 397-0568

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": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1467025783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W FAIRFAX ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045373",
            "telephone_number": "479-871-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W FAIRFAX ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045373",
            "telephone_number": "479-871-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3408 W Fairfax St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727045373",
            "country_code": "US",
            "telephone_number": "479-871-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTED HOPE COUNSELING AND CONSULTING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "479-871-4595",
        "authorized_official_credential": "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": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.