Roots Wellness Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ROOTS WELLNESS COUNSELING LLC

Practice address

19041 Canterbury PL
Country Club Hills, IL 60478-5254

Phone

(708) 654-5200

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Anese Adams CollierNPI 1740880707

Title

Owner

Phone

(773) 208-3210

Specialties & licenses 1

Addresses

Practitioners 1

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

• Anese Linda Adams Collier

  • Mental Health Counselor
  • New Lenox, IL
  • NPI 1740880707
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1952008849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19041 CANTERBURY PL",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785254",
            "telephone_number": "708-654-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19041 CANTERBURY PL",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785254",
            "telephone_number": "708-654-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS COLLIER",
        "authorized_official_first_name": "ANESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-208-3210"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Country Club Hills, IL
• Providers in Country Club Hills, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.