Active NPI
Roots of Regulation Counseling LLC
- Mental Health Counselor
- Manhattan, IL
National Provider Identifier
1467239749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary D'Adam
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.