Healing Roots Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

HEALING ROOTS COUNSELING LLC

Practice address

1690 Stone Village LN NW Ste 601B
Kennesaw, GA 30152-7777

Phone

(678) 948-5783

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Tucker, MA, LPCNPI 1922578178

Title

Licensed Professional Counselor

Phone

(678) 948-5783

Specialties & licenses 1

Addresses

Locations

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.

• Kristina Tucker, MA, LPC

  • Counselor
  • Kennesaw, GA
  • NPI 1922578178
  NPD (past) Authorized official

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1902376163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 BUTTERFIELD DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526989",
            "telephone_number": "678-770-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 601B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "678-948-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-948-5783",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Benjamin Hayes, P.T.A.
• Kristina Hazard, PHARMD
• Troyce Randall Headrick
• Healing Hearts & Minds Counseling & Consulting LLC
• Healing Psychotherapy Practices of Georgia
• Healthfield Home Health, LLC (Centerwell Home Health)
• Healthypro LLC
• Kristen Hearn
• Laura Hecht, PT
• Rachael Megan Heib

• Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.