Rootbound Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROOTBOUND THERAPY, LLC

Practice address

32 Pea PL
Kula, HI 96790-8302

Phone

(805) 705-9671

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Katy L Brandenburg, LMHCNPI 1598229684

Title

Ceo/Owner

Phone

(805) 705-9671

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katy Brandenburg, LMHC

  • Mental Health Counselor
  • Kula, HI
  • NPI 1598229684

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1609614643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1094",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967681094",
            "telephone_number": "805-705-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908302",
            "telephone_number": "805-705-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTBOUND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "805-705-9671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deanne D Salzer, SLP, BCBA
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• Michele Scofield, LCSW
• Tamuz Shiran, LMFT
• Taylor Lee Smith, OTR/L

• All providers in Kula, HI
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.