NPIMap

Organization Active NPI

Healing Roots Therapy, LLC

Doing business as Healing Roots Integrative Care

  • Addiction (Substance Use Disorder) Counselor
  • West Des Moines, IA
National Provider Identifier
1699591479
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
HEALING ROOTS THERAPY, LLC
Doing business as
Healing Roots Integrative Care
Practice address
1601 Westlakes Pkwy Ste 210
West Des Moines, IA 50266-8398
Phone
(319) 573-6461
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Mrs. Deanna Engrav, LMFT, CADCNPI 1477958932
Title
Owner
Phone
(319) 573-6461

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
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1601 Westlakes Pkwy Ste 210
West Des Moines, IA 50266-8398

Mailing address

1322 NW Bennington Dr
Waukee, IA 50263-7210
Phone (319) 573-6461

Other names 1

  • Healing Roots Integrative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healing Roots Integrative Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1699591479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 NW BENNINGTON DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637210",
            "telephone_number": "319-573-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WESTLAKES PKWY STE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668398",
            "telephone_number": "319-573-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "ENGRAV",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-573-6461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Roots Integrative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.