Roots Counseling & Consultation LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ROOTS COUNSELING & CONSULTATION LLC

Practice address

856 E 8TH St Ste 1
Traverse City, MI 49686-2784

Phone

(248) 882-1338

NPI assigned

Mar 17, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allison Renee Wilson, MS, LPCNPI 1699217372

Title

Owner/Mental Health Therapist

Phone

(231) 577-6676

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Allison Renee Wilson, MS, LPC

  • Professional Counselor
  • Traverse City, MI
  • NPI 1699217372
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1730764069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 COSTER RD SW",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496338218",
            "telephone_number": "248-882-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 E 8TH ST STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862784",
            "telephone_number": "248-882-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 Coster Rd SW",
            "address_purpose": "LOCATION",
            "city": "Fife Lake",
            "state": "MI",
            "postal_code": "496338218",
            "country_code": "US",
            "telephone_number": "248-882-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "231-577-6676",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald R Lints DDS, Ms, PC
• Ann M Ronayne, LLPC
• Eleanor Galit Roos, MOT, OTR/L
• Matthew George Roos, M.D.
• Nichole Roost, OTR/L
• Grace Rosa, DPT
• Holly Rose
• Jennie Rose, MD
• Jill Rose
• Rosegate Residential MNG,Inc

• Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.