Healthy Roots Therapy, LLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HEALTHY ROOTS THERAPY, LLC.

Practice address

415 W Golf Rd Ste 59B
Arlington Heights, IL 60005-3923

Phone

(847) 305-1360

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Carla Ruth Laury, LCPCNPI 1689121428

Title

Manager/LCPC

Phone

(847) 305-1360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Ruth Laury, LCPC

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1689121428
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1497323778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 PEARSON ST APT 405",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166409",
            "telephone_number": "630-815-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 59B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-305-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY ROOTS THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "LAURY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MANAGER/LCPC",
        "authorized_official_telephone_number": "847-305-1360",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.