Rooted Restoration

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ROOTED RESTORATION

Practice address

5512 Master St
Philadelphia, PA 19131-4231

Phone

(267) 225-1121

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Laurie Amado, LPC

Title

Owner

Phone

(786) 896-1780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1932937786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 MASTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314231",
            "telephone_number": "267-225-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 MASTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314231",
            "telephone_number": "267-225-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-896-1780",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Root Canal Assoc, P.C.
• Gina Root
• Haley Root
• Rooted in Care Counseling
• Rooted in Compassion, LLC
• Rooting Wild Movement LLC
• Laura Roper, MD
• William Jason Roper, MD
• Rachael M Ropp, BSN, RN
• Sebastian S Roque

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.