Organization Active NPI

Roots to Ground Counseling

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1962958074
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1198 Issued in CO
Legal business name
ROOTS TO GROUND COUNSELING
Practice address
2500 N Circle Dr Ste 400
Colorado Springs, CO 80909-1184
Phone
(719) 331-6653
Fax
(719) 623-0458
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Cynthia A. Leblanc, MS,LMFTNPI 1427306992
Title
Owner
Phone
(719) 331-6653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1198 CO Primary

Addresses

Primary practice location

2500 N Circle Dr Ste 400
Colorado Springs, CO 80909-1184

Mailing address

1765 Rimwood Dr
Colorado Springs, CO 80918-7874
Phone (719) 331-6653

Other identifiers 1

IdentifierTypeStateIssuer
9000148438MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://rootstoground.clientsecure.me Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213000432 CO Part B Supplier - Clinic/Group Practice 2062855471 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1962958074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 RIMWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187874",
            "telephone_number": "719-331-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N CIRCLE DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091184",
            "telephone_number": "719-331-6653",
            "fax_number": "719-623-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS TO GROUND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-331-6653",
        "authorized_official_credential": "MS,LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000148438",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://rootstoground.clientsecure.me",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://rootstoground.clientsecure.me",
            "address_1": "2500 N Circle Dr Ste 400",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809091184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.