Organization Active NPI

Strong Roots Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ann Arbor, MI
National Provider Identifier
1760058663
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STRONG ROOTS THERAPY
Practice address
1011 E Summerfield Glen Cir
Ann Arbor, MI 48103-9163
Phone
(616) 822-5777
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Carly Fritsch, MSWNPI 1003481466
Title
Clinical Social Worker
Phone
(616) 822-5777

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1011 E Summerfield Glen Cir
Ann Arbor, MI 48103-9163

Mailing address

1011 E Summerfield Glen Cir
Ann Arbor, MI 48103-9163
Phone (616) 822-5777

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1760058663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E SUMMERFIELD GLEN CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039163",
            "telephone_number": "616-822-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E SUMMERFIELD GLEN CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039163",
            "telephone_number": "616-822-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG ROOTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "FRITSCH",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-822-5777",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.