Root & Bloom Therapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ROOT & BLOOM THERAPY LLC

Practice address

1153 Main St
Coventry, CT 06238-3115

Phone

(860) 375-0374

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Serena ChestnutNPI 1598483463

Title

LMFT

Phone

(860) 375-0374

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, and the practitioner matching its NPPES authorized official.

• Serena Chestnut

  • Marriage & Family Therapist
  • Coventry, CT
  • NPI 1598483463
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1497500888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N BEAR HILL RD",
            "city": "CHAPLIN",
            "state": "CT",
            "postal_code": "062352421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383115",
            "telephone_number": "860-375-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & BLOOM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "CHESTNUT",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "860-375-0374"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Resources LLC
• Alison Ohearn
• Shante Powers-Gaskins, LCSW
• Lynn Reilly, M.S.
• Akina Afreeka Richards
• Courtney Lynn Rossignol, IBCLC
• Kathleen Rup
• Ryanne Gatti LMFT PLLC
• Alexandra Salinsky
• Laura Santos

• Marriage & Family Therapist in Coventry, CT
• Providers in Coventry, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.