Organization Active NPI

Radiant and Rooted Therapy PLLC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1811804909
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RADIANT AND ROOTED THERAPY PLLC
Practice address
2389 Sedgemont Dr
Winston Salem, NC 27103-9795
Phone
(336) 970-0178
NPI assigned
Aug 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Christina Holdsclaw Carter, LCMHCA
Title
Lic Clinical Mental Health Counselo
Phone
(336) 970-0178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2389 Sedgemont Dr
Winston Salem, NC 27103-9795

Mailing address

2389 Sedgemont Dr
Winston Salem, NC 27103-9795
Phone (336) 970-0178

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1811804909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 SEDGEMONT DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271039795",
            "telephone_number": "336-970-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 SEDGEMONT DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271039795",
            "telephone_number": "336-970-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT AND ROOTED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "HOLDSCLAW",
        "authorized_official_title_or_position": "LIC CLINICAL MENTAL HEALTH COUNSELO",
        "authorized_official_telephone_number": "336-970-0178",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.