Healing Roots Behavioral Health Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALING ROOTS BEHAVIORAL HEALTH CENTER, LLC

Practice address

325C Kennedy Memorial Dr Ste 2
Waterville, ME 04901-4517

Phone

(207) 649-2762

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Venessa Folsom, LCPCNPI 1164723532

Title

Owner, Clinician

Phone

(207) 649-2762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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

• Venessa Folsom

  • Professional Counselor
  • Waterville, ME
  • NPI 1164723532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1982160156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ABBOTT RD",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049010002",
            "telephone_number": "107-649-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325C KENNEDY MEMORIAL DR STE 2",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-649-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS BEHAVIORAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "VENESSA",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "207-649-2762",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Jean Hay, PT
• Nathan R Hayes, MS, PA-C
• Marie Ann Haywood, CADC
• Head and Neck Surgical Associates
• Healing Path Holistic Psychiatry
• Health Psych Maine LLC
• Health Psych Maine, LLC
• Healthreach Community Health Centers
• Kristen Marie Heil, ED.S.
• Elizabeth Ann Held, PA-C

• Mental Health Counselor in Waterville, ME
• Providers in Waterville, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.