Rooted Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROOTED COUNSELING LLC

Practice address

13242 S Route 59 Ste 102a
Plainfield, IL 60585-5438

Phone

(331) 465-9588

Fax

(331) 625-6448

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Parks, LCSWNPI 1275812414

Title

Owner, Clinical Social Worker

Phone

(630) 935-5662

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Parks, MSW, LCSW

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1275812414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1861007817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CAROL LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401694",
            "telephone_number": "630-935-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13242 S ROUTE 59 STE 102A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855438",
            "telephone_number": "331-465-9588",
            "fax_number": "331-625-6448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Carol Ln",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401694",
            "country_code": "US",
            "telephone_number": "331-465-9588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTED COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER, CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-935-5662",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER LICENSE NUMBER",
            "identifier": "149015311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rogers Medical, LTD
• Courtney Rogers
• Jennifer Rogers, LPC
• Jae Sung Roh, DDS
• Brenda Roman
• Rooted Presence and Purpose, LLC
• Jordan Roscoe, RBT
• Madalyn Joy Rossen, MS
• Michelle Beason Roush, PA-C
• Veronica Yee Concepcion Rueda, PT, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.