Rerooted: Family and Trauma Recovery LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REROOTED: FAMILY AND TRAUMA RECOVERY LLC

Practice address

717 E River Pkwy
Minneapolis, MN 55455-0369

Phone

(763) 607-6420

NPI assigned

Jul 29, 2025

Last updated

Jul 29, 2025By 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

Ms. Peg Kinda

Title

Contractor

Phone

(612) 306-8499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1619850393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 VINEWOOD LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112816",
            "telephone_number": "763-607-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E RIVER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550369",
            "telephone_number": "763-607-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REROOTED: FAMILY AND TRAUMA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "KINDA",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "CONTRACTOR",
        "authorized_official_telephone_number": "612-306-8499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Minneapolis, MN
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• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.