Rooted Mental Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROOTED MENTAL WELLNESS

Practice address

134 F St Ste 209
Salida, CO 81201-2160

Phone

(719) 204-4202

Fax

(877) 483-3146

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Scott Fricke, PMHNPNPI 1194338806

Title

Founder/Ceo

Phone

(970) 260-4248

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.

• Scott M. Fricke, APN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salida, CO
  • NPI 1194338806
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1699501585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 F ST STE 209",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012160",
            "telephone_number": "719-204-4202",
            "fax_number": "877-483-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 F ST STE 209",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012160",
            "telephone_number": "719-204-4202",
            "fax_number": "877-483-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "970-260-4248",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Salida, CO
• Providers in Salida, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

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