Organization Active NPI

Cultivating R.O.O.T.S., LLC

  • Mental Health Counselor
  • Fairburn, GA
National Provider Identifier
1841826658
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CULTIVATING R.O.O.T.S., LLC
Practice address
6303 Foggy Oak Dr
Fairburn, GA 30213-4686
Phone
(706) 231-2008
Fax
(800) 419-9018
NPI assigned
Mar 13, 2020
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Dr. Tiffany C Pope, PHD, LPCNPI 1356792519
Title
Licensed Professional Counselor
Phone
(706) 231-2008

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

6303 Foggy Oak Dr
Fairburn, GA 30213-4686

Mailing address

6303 Foggy Oak Dr
Fairburn, GA 30213-4686
Phone (404) 444-5143

National Provider Directory

National Provider Directory

Locations

6045 Atlantic Blvd
Ste 108
Norcross, GA 30071

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": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1841826658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 FOGGY OAK DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134686",
            "telephone_number": "404-444-5143",
            "fax_number": "800-419-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 FOGGY OAK DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134686",
            "telephone_number": "706-231-2008",
            "fax_number": "800-419-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING R.O.O.T.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "706-231-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.