Organization Active NPI

Roots Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxford, AL
National Provider Identifier
1972161404
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROOTS COUNSELING, LLC
Practice address
2208 Glen Davis Rd
Oxford, AL 36203-3751
Phone
(256) 225-1227
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Kristen O'Dell, LPC
Title
Direction
Phone
(256) 225-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2208 Glen Davis Rd
Oxford, AL 36203-3751

Mailing address

2208 Glen Davis Rd
Oxford, AL 36203-3751
Phone (256) 225-1227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1972161404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 GLEN DAVIS RD",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362033751",
            "telephone_number": "256-225-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 GLEN DAVIS RD",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362033751",
            "telephone_number": "256-225-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTION",
        "authorized_official_telephone_number": "256-225-1227",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.