Organization Active NPI

Deeper Roots Therapy

  • Adult Mental Health Clinic/Center
  • Simpsonville, SC
National Provider Identifier
1851980239
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DEEPER ROOTS THERAPY
Practice address
520 S Main St
Simpsonville, SC 29681-3220
Phone
(864) 376-6634
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Emilee Scruggs, LISW-CPNPI 1033511837
Title
Lisw-CP and Owner
Phone
(864) 376-6634

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

520 S Main St
Simpsonville, SC 29681-3220

Mailing address

520 S Main St
Simpsonville, SC 29681-3220
Phone (864) 376-6634

National Provider Directory

National Provider Directory

Locations

520 S Main St
Simpsonville, SC 29681
Phone (864) 376-6634

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": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1851980239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813220",
            "telephone_number": "864-376-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813220",
            "telephone_number": "864-376-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER ROOTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "EMILEE",
        "authorized_official_title_or_position": "LISW-CP AND OWNER",
        "authorized_official_telephone_number": "864-376-6634",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.