Root Counseling Growth & Development for Adults, Adoles & Child, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROOT COUNSELING GROWTH & DEVELOPMENT FOR ADULTS, ADOLES & CHILD, LLC

Practice address

500 W Wilson Bridge Rd Ste 75
Worthington, OH 43085-2238

Phone

(614) 395-9183

NPI assigned

Mar 5, 2022

Last updated

Mar 5, 2022By 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

Ms. Avalon Bultema Espinoza, LISW-SNPI 1033590641

Title

Clinical Social Worker

Phone

(614) 395-9183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Avalon Espinoza, MSW, LISW-S

  • Clinical Social Worker
  • Worthington, OH
  • NPI 1033590641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1770230179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD STE 75",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-395-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD STE 75",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-395-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT COUNSELING GROWTH & DEVELOPMENT FOR ADULTS, ADOLES & CHILD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "AVALON",
        "authorized_official_middle_name": "BULTEMA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "614-395-9183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Rolfe, LISW
• Amy Rolwing, SLP
• Jessica Ann Romanelli, LSW
• Alison Marie Romanowski, CNP
• Ron Schulman Holdings LLC (SYNERGY HomeCare of Columbus)
• Eriq Rory, LPCC
• Ishadai Rose
• Renda Ann Ross, PH.D.
• Sasha Pauline Roth
• Hillary Irene Rouse, LISW, MSW

• Community/Behavioral Health Agency in Worthington, OH
• Providers in Worthington, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.