Healing Roots Therapy and Consulting Services LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING ROOTS THERAPY AND CONSULTING SERVICES LLC.

Practice address

105 Indigo Place CT
West Columbia, SC 29172-2698

Phone

(803) 974-9415

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Antoinette Shanae Nipper, LISW-CPNPI 1114687035

Title

Owner

Phone

(803) 974-9415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Antoinette Shanae Nipper, LISW-CP

  • Clinical Social Worker
  • West Columbia, SC
  • NPI 1114687035
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1891448635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INDIGO PLACE CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722698",
            "telephone_number": "803-974-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 INDIGO PLACE CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722698",
            "telephone_number": "803-974-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS THERAPY AND CONSULTING SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "NIPPER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "SHANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-974-9415",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rikard Hays, MD
• Ashley Torroni Hazelrigg, APRN
• Brian Kent Heaberlin, MD
• Trey Allen Head, LPTA
• Jill B Healey, M.D.
• Healthsource of West Columbia
• Healthstat Onsite Clinic Harsco Rail
• Healthwise Personal Services, LLC
• Healthy Roots Chiropractic, LLC
• Hearing Healthcare of South Carolina

• Clinical Social Worker in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.