HEALING ROOTS COUNSELING, LLC (NPI# 1861050072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861050072 |
| Entity Type | Organization |
| Organization Name | HEALING ROOTS COUNSELING, LLC |
| Practice Address |
39 Nw Louisiana Ave Bend OR 97703-3310 |
| Mailing Address |
Po Box 112 Sisters OR 97759-0112 |
| Practice Telephone | 5419040083 |
| Practice Fax Number | 5415084526 |
| Mailing Telephone | 5419040083 |
| Mailing Fax Number | 5415084526 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | ANGELA K PYKE (COUNSELOR) |
| Authorized Official Telephone | 5419040083 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 Buckaroo Trl Ste 103, Sisters, OR 977599426 | 5419040083 | 5415084526 |
| 780 Buckaroo Trl Ste B, Sisters, OR 977599428 | 5419040083 | 5415084526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALING ROOTS COUNSELING, LLC | 780 Buckaroo Trail Suite B, Sisters, OR 97759 |
| Colorado Business Entities | Healing Roots Counseling, LLC | 13544 Shiloh Rd, Conifer, CO 80433 |
| Street Address |
39 NW LOUISIANA AVE |
| City | BEND |
| State | OR |
| Zip Code | 97703-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922130905 | Lynn D Modjeski | Counselor | 39 Nw Louisiana Ave, Bend, OR 97701-3203 | 2007-03-12 |
| 1356823306 | Angela Kay Pyke | Counselor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2018-09-05 |
| 1902305196 | Keri Lynn Garrison | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2018-02-02 |
| 1477098812 | Lori Ann Carroll | Chiropractor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2016-12-20 |
| 1508213893 | Kevin R. Pett Phd | Acupuncturist | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2016-05-17 |
| 1386035277 | Sarah Reynolds-jackson | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2015-02-12 |
| 1194123786 | Calley Asbill | Naturopath | 39 Nw Louisiana Ave, Bend, OR 97701 | 2014-12-12 |
| 1245652353 | Matt Lauziere | Specialist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2014-01-08 |
| 1326481383 | Karl Dwight Jackson | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2013-04-09 |
| 1841533965 | Justine Kargol | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2013-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
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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.