Organization Active NPI

New Roots Inc

  • Peer Specialist
  • Wilkes Barre, PA
National Provider Identifier
1689141863
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
NEW ROOTS INC
Practice address
121 Water St
Wilkes Barre, PA 18702-2519
Phone
(570) 788-4455
NPI assigned
Oct 25, 2018
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Kristen Topolski
Title
Cofounder
Phone
(570) 788-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

121 Water St
Wilkes Barre, PA 18702-2519

Mailing address

121 Water St
Wilkes Barre, PA 18702-2519
Phone (570) 788-4455

Other practice location 1

287 W Butler Dr
Drums, PA 18222-2314
Phone (570) 788-4455

National Provider Directory

National Provider Directory

Locations

121 Water St
Wilkes Barre, PA 18702
Phone (570) 788-4455

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1689141863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WATER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022519",
            "telephone_number": "570-788-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WATER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022519",
            "telephone_number": "570-788-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 W Butler Dr",
            "address_purpose": "LOCATION",
            "city": "Drums",
            "state": "PA",
            "postal_code": "182222314",
            "country_code": "US",
            "telephone_number": "570-788-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ROOTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "TOPOLSKI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "570-788-4455"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.