Healing Roots Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALING ROOTS COUNSELING

Practice address

3200 Highland Ave
Wayzata, MN 55391-2863

Phone

(612) 505-0815

NPI assigned

Dec 28, 2022

Organization subpart

No

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

Authorized official

Name

Rebecca Jean Hines, LPCCNPI 1326583626

Title

Owner/Counselor

Phone

(612) 505-0815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Rebecca Jean Hines, LPCC

  • Mental Health Counselor
  • Hopkins, MN
  • NPI 1326583626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1497468060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HIGHLAND AVE",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912863",
            "telephone_number": "612-505-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HIGHLAND AVE",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912863",
            "telephone_number": "612-505-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "612-505-0815",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Hannon, DDS
• Jodi S Haroldson, PT
• Katherine Jane Haskin, L.M.F.T.
• Pamela Hasselbring
• Timothy P Haupert, O.D.
• Healthtouch Home Care, Inc.
• Darlene Heimerl, M.A.
• Julia Ann Herman, D.D.S
• Lee Ann Hertzog Donovan, CPNP
• Erica L Hertzog, PHN

• Mental Health Counselor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.