NPIMap

Organization Active NPI

Roots Music Therapy Services LLC

  • Music Therapist
  • Arden Hills, MN
National Provider Identifier
1497346803
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Legal business name
ROOTS MUSIC THERAPY SERVICES LLC
Practice address
3748 McCracken LN
Arden Hills, MN 55112-3229
Phone
(651) 500-5422
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Samantha Grace Hallgren, MT-BCNPI 1245867167
Title
Founder
Phone
(651) 500-5422

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
Music TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225A00000X Primary

Addresses

Primary practice location

3748 McCracken LN
Arden Hills, MN 55112-3229

Mailing address

3748 McCracken LN # a
Arden Hills, MN 55112-3229
Phone (651) 500-5422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sammie@rootsmusictherapyservices.com Health Information Exchange (HIE)

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1497346803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 MCCRACKEN LN # A",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123229",
            "telephone_number": "651-500-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3748 MCCRACKEN LN",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123229",
            "telephone_number": "651-500-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS MUSIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "HALLGREN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "651-500-5422",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sammie@rootsmusictherapyservices.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3748 McCracken Ln",
            "city": "Arden Hills",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551123229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.