Organization Active NPI

Rooted & Nourished Psychotherapy, PLLC

  • Adult Mental Health Clinic/Center
  • Waco, TX
National Provider Identifier
1700710241
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ROOTED & NOURISHED PSYCHOTHERAPY, PLLC
Practice address
1600 Lake Air Dr Ste 127
Waco, TX 76710-2904
Phone
(254) 221-6829
Fax
(254) 232-2606
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Hannah Short, LCSWNPI 1497347991
Title
Therapist/Owner
Phone
(832) 499-8933

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1600 Lake Air Dr Ste 127
Waco, TX 76710-2904

Mailing address

1600 Lake Air Dr Ste 127
Waco, TX 76710-2904
Phone (254) 221-6829

National Provider Directory

National Provider Directory

Locations

1600 Lake Air Dr
Ste 127
Waco, TX 76710

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": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1700710241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKE AIR DR STE 127",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102904",
            "telephone_number": "254-221-6829",
            "fax_number": "254-232-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKE AIR DR STE 127",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102904",
            "telephone_number": "254-221-6829",
            "fax_number": "254-232-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED & NOURISHED PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "832-499-8933",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.