Organization Active NPI

Rooted Still Waters Counseling and Wellness, LLC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1760355440
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROOTED STILL WATERS COUNSELING AND WELLNESS, LLC
Practice address
1226 Progressive Dr Ste 103
Chesapeake, VA 23320-2847
Phone
(757) 694-1438
NPI assigned
Sep 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Moriah Jonelle D Blackmon, LPCNPI 1588386171
Title
Licensed Professional Counselor
Phone
(757) 694-1438

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1226 Progressive Dr Ste 103
Chesapeake, VA 23320-2847

Mailing address

1226 Progressive Dr Ste 103
Chesapeake, VA 23320-2847

National Provider Directory

National Provider Directory

Locations

1226 Progressive Dr
Ste 103
Chesapeake, VA 23320
Phone (757) 694-1438

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": "1758931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1760355440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 PROGRESSIVE DR STE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 PROGRESSIVE DR STE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202847",
            "telephone_number": "757-694-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED STILL WATERS COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "MORIAH JONELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "757-694-1438",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.