Rooted Rebellion Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROOTED REBELLION COUNSELING, PLLC

Practice address

752 N Main St Unit 145
Mansfield, TX 76063-3241

Phone

(682) 702-8938

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Lindsey Jean Stanley, LCSWNPI 1356102321

Title

Owner

Phone

(682) 702-8938

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.

• Lindsey J Stanley, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1356102321
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1942035993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 145",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633241",
            "telephone_number": "682-702-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 145",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633241",
            "telephone_number": "682-702-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED REBELLION COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-702-8938",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Robledo, MSN, APRN, FNP-BC
• Roderick P Diggs III MD PA
• Angel Rodriguez, D.D.S
• Ebony Rogers
• Jessica Leigh Rogers, MA, LPC
• Warren Paul Roquet, MD
• Jacqueline Rosckes, LPC
• Rose Park Dental
• Grace Rosiji
• Lora Rosman, LMSW

• Mental Health Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.