NPIMap

Organization Active NPI

Rooted Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Du Bois, PA
National Provider Identifier
1689268351
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROOTED COUNSELING SERVICES, LLC
Doing business as
Rooted Counseling Services, LLC
Practice address
90 Beaver Dr Ste 210D
Du Bois, PA 15801-2441
Phone
(814) 577-6518
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Breann L Cummings, LPCNPI 1386127405
Title
Owner/Counselor
Phone
(814) 375-6805

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

90 Beaver Dr Ste 210D
Du Bois, PA 15801-2441

Mailing address

90 Beaver Dr Ste 210D
Du Bois, PA 15801-2441
Phone (814) 577-6518

Other identifiers 1

IdentifierTypeStateIssuer
1386127405OtherPANPI (TYPE 1)

Other names 1

  • Rooted Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory

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": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1689268351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 210D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012441",
            "telephone_number": "814-577-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 210D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012441",
            "telephone_number": "814-577-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "BREANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "814-375-6805",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE 1)",
            "identifier": "1386127405",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rooted Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.