ROOTED WELLNESS LLC (NPI# 1700445095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700445095 |
| Entity Type | Organization |
| Organization Name | ROOTED WELLNESS LLC |
| Practice Address |
830 W Grand River Ave Brighton MI 48116-2303 |
| Mailing Address |
Po Box 10 Mason MI 48854-0010 |
| Practice Telephone | 8105228432 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | MARY BETH HOUPT (CREDENTIALING) |
| Authorized Official Telephone | 5176769788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rooted Wellness LLC | 834 S. Vallejo St., Denver, CO 80223 |
| Oregon Corporations, Companies and Business Names | ROOTED WELLNESS LLC | 3539 N Williams Ave Suite 201, Portland, OR 97227 |
| Street Address |
830 W GRAND RIVER AVE |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710364914 | Michael Myers | Massage Therapist | 830 W Grand River Ave, Brighton, MI 48116-2303 | 2015-04-27 |
| 1811493745 | Natashia Robbins | Marriage & Family Therapist | 830 W Grand River Ave, Brighton, MI 48116-2303 | 2018-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949311 | Althea M Bakke-lysaker | Marriage & Family Therapist | 29 N Main St Ste 106, Brighton, CO 80601-1624 | 2020-07-13 |
| 1659791895 | Wendy Moore | Marriage & Family Therapist | 40 Lincoln St, Brighton, MA 02135-1408 | 2014-04-25 |
| 1134420128 | Sarah E Harrier | Marriage & Family Therapist | 2200 Genoa Business Park Dr, Brighton, MI 48114-5328 | 2010-11-08 |
| 1205027471 | Katharine Kostanski Tiedemann | Marriage & Family Therapist | 16 Ryder Hill Rd, Brighton, MA 02135-3005 | 2007-08-05 |
| 1326252610 | Tianna Lynn Hoppe Rooney | Marriage & Family Therapist | 754 West Grand River Avenue, Brighton, MI 48116 | 2007-05-09 |
| 1225655202 | Heather N Fass | Marriage & Family Therapist | 1606 Prairie Center Pkwy, Brighton, CO 80601-4004 | 2020-06-25 |
| 1932753670 | Ashley Ann Floyd | Marriage & Family Therapist | 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 | 2019-07-31 |
| 1861051708 | Blue Lotus Therapy Services LLC | Marriage & Family Therapist | 711 E Grand River Ave, Brighton, MI 48116-2474 | 2019-06-12 |
| 1578122800 | Christina Alana Jolokai | Marriage & Family Therapist | 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 | 2019-06-11 |
| 1811493745 | Natashia Robbins | Marriage & Family Therapist | 830 W Grand River Ave, Brighton, MI 48116-2303 | 2018-03-31 |
| Find all providers in BRIGHTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.