Active NPI
Holistically Rooted Counseling, LLC
- Clinical Social Worker
- Durango, CO
National Provider Identifier
1568137156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOLISTICALLY ROOTED COUNSELING, LLC
- Doing business as
- Holistically Rooted Counseling, LLC
- Practice address
- 2243 Main Ave Ofc B
Durango, CO 81301-4699 - Phone
- (610) 563-9758
- NPI assigned
- Aug 16, 2021
- 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
- Linza Vargas, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (610) 563-9758
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2243 Main Ave Ofc B
Durango, CO 81301-4699
Mailing address
3316 E 4TH Ave
Durango, CO 81301-6004
Other names 1
- Holistically Rooted Counseling, LLC
National Provider Directory
National Provider DirectoryLocations
2243 Main Ave
Ofc B
Durango, CO 81301
Phone (610) 563-9758
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": "1629072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629072000000",
"number": "1568137156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 E 4TH AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 MAIN AVE OFC B",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014699",
"telephone_number": "610-563-9758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTICALLY ROOTED COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A",
"authorized_official_last_name": "VARGAS",
"authorized_official_first_name": "LINZA",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "610-563-9758",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holistically Rooted Counseling, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.