Organization Active NPI

Deeply Rooted Psychotherapy, LLC

  • Mental Health Counselor
  • North Palm Beach, FL
National Provider Identifier
1801593348
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DEEPLY ROOTED PSYCHOTHERAPY, LLC
Practice address
860 US 1 Ste 206
North Palm Beach, FL 33408-3865
Phone
(321) 345-7339
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Authorized official

Name
Mrs. Erin McKinney, LCSW, RPTNPI 1669845103
Title
Psychotherapist/Owner
Phone
(321) 345-7339

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

860 US 1 Ste 206
North Palm Beach, FL 33408-3865

Mailing address

860 US 1 Ste 206
North Palm Beach, FL 33408-3865
Phone (321) 345-7339

Other practice location 1

1850 Forest Hill Blvd Ste 203
West Palm Beach, FL 33406-6060
Phone (561) 221-0080

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

National Provider Directory

National Provider Directory

Locations

860 US Highway 1
Ste 206
North Palm Beach, FL 33408
Phone (321) 345-7339

721 US 1
Ste 112
North Palm Beach, FL 33408
Phone (321) 345-7339

1850 Forest Hill Blvd
Ste 203
West Palm Beach, FL 33406
Phone (561) 221-0080

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726358400000",
    "number": "1801593348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 US 1 STE 206",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083865",
            "telephone_number": "321-345-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 US 1 STE 206",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083865",
            "telephone_number": "321-345-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Forest Hill Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066060",
            "country_code": "US",
            "telephone_number": "561-221-0080",
            "fax_number": "561-287-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEPLY ROOTED PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "321-345-7339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.