Organization Active NPI

Roots Substance Abuse Counseling LLC

  • Counselor
  • Sioux City, IA
National Provider Identifier
1831880426
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ROOTS SUBSTANCE ABUSE COUNSELING LLC
Practice address
201 Pierce St Ste 110
Sioux City, IA 51101-1479
Phone
(712) 522-2582
Fax
(712) 522-2586
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Jonathan VantuylNPI 1487236543
Title
Owner
Phone
(712) 522-2582

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

201 Pierce St Ste 110
Sioux City, IA 51101-1479

Mailing address

201 Pierce St Ste 110
Sioux City, IA 51101-1479
Phone (712) 522-2582

National Provider Directory

National Provider Directory

Locations

201 Pierce St
Ste 110
Sioux City, IA 51101
Phone (712) 522-2582

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1831880426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PIERCE ST STE 110",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011479",
            "telephone_number": "712-522-2582",
            "fax_number": "712-522-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PIERCE ST STE 110",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011479",
            "telephone_number": "712-522-2582",
            "fax_number": "712-522-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS SUBSTANCE ABUSE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "VANTUYL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-522-2582"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.