NPIMap

Organization Active NPI

Roots of Addiction Counseling Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Modesto, CA
National Provider Identifier
1740990928
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ROOTS OF ADDICTION COUNSELING CENTER LLC
Doing business as
GPS Counseling Center
Practice address
1101 Sylvan Ave Ste C103
Modesto, CA 95350-1687
Phone
(209) 578-7477
NPI assigned
Nov 29, 2022
Organization subpart
Yes
Parent organization
1306952As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
David RaeseNPI 1760264915
Title
Ceo
Phone
(209) 758-7477

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1101 Sylvan Ave Ste C103
Modesto, CA 95350-1687

Mailing address

1101 Sylvan Ave Ste C103
Modesto, CA 95350-1687
Phone (209) 578-7477

Other names 1

  • GPS Counseling Center Doing business as

National Provider Directory

National Provider Directory
Part of
Roots of Addiction Counseling Center LLC

Locations

1101 Sylvan Ave
Ste C103
Modesto, CA 95350
Phone (209) 578-7477

Practitioners & affiliated clinicians

Practitioners 3

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": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1740990928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SYLVAN AVE STE C103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501687",
            "telephone_number": "209-578-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SYLVAN AVE STE C103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501687",
            "telephone_number": "209-578-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS OF ADDICTION COUNSELING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1306952",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "RAESE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-758-7477"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPS Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GPS Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.