Organization Active NPI

Roots of Regulation Counseling LLC

  • Mental Health Counselor
  • Manhattan, IL
National Provider Identifier
1467239749
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROOTS OF REGULATION COUNSELING LLC
Practice address
25047 S Blackthorne Rd
Manhattan, IL 60442-9189
Phone
(773) 627-6417
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
Mary D'AdamNPI 1265830236
Title
Therapist
Phone
(773) 627-6417

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 Primary

Addresses

Primary practice location

25047 S Blackthorne Rd
Manhattan, IL 60442-9189

Mailing address

25047 S Blackthorne Rd
Manhattan, IL 60442-9189
Phone (773) 627-6417

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": "1467239749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25047 S BLACKTHORNE RD",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604429189",
            "telephone_number": "773-627-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25047 S BLACKTHORNE RD",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604429189",
            "telephone_number": "773-627-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS OF REGULATION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "D'ADAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-627-6417"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, IL

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.