Root and Revive Wellness LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ROOT AND REVIVE WELLNESS LLC

Practice address

5335 W 48TH Ave
Denver, CO 80212-2700

Phone

(303) 525-3703

NPI assigned

Jan 22, 2024

Last updated

Jan 29, 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

Britney PetersonNPI 1922417104

Title

Therapist

Phone

(303) 525-3703

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.

• Britney Ellen Peterson

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1922417104
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1679334080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 W 48TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122700",
            "telephone_number": "303-525-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 W 48TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122700",
            "telephone_number": "303-525-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT AND REVIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "303-525-3703"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Rook, PH.D.
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• Genie Roosevelt, MD
• Helen Roosevelt
• Ashleigh Taylor Roosz, LISW-S
• Root Neurodiagnostics
• Root Neuromonitoring LLC
• Tyler Stuart Root
• Rooted Acorn Counseling LLC
• Rooted Alchemy Collective

• Marriage & Family Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Marriage & Family Therapist in Colorado

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