Active NPI
Cultivating R.O.O.T.S., LLC
- Mental Health Counselor
- Fairburn, GA
National Provider Identifier
1841826658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tiffany C Pope, PHD, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Fairburn, GA
- NPI 1356792519
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.