Organization Active NPI

New Roots Therapy and Consultation LLC

  • Clinical Social Worker
  • Kearney, NE
National Provider Identifier
1770472649
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW ROOTS THERAPY AND CONSULTATION LLC
Practice address
2908 W 39TH St Ste B
Kearney, NE 68845-1245
Phone
(308) 237-0391
NPI assigned
Jul 2, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Nicole Krantz, LCSWNPI 1508180548
Title
Owner
Phone
(308) 440-0869

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2908 W 39TH St Ste B
Kearney, NE 68845-1245

Mailing address

1005 W 9TH St PL
Kearney, NE 68845-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930001596 NE Part B Supplier - Clinic/Group Practice 8921504960 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

2908 W 39th St
Ste B
Kearney, NE 68845
Phone (308) 237-0391

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1770472649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W 9TH ST PL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W 39TH ST STE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451245",
            "telephone_number": "308-237-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROOTS THERAPY AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-440-0869",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.