DEEP ROOTS THERAPY, PLLC (NPI# 1912365255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365255 |
| Entity Type | Organization |
| Organization Name | DEEP ROOTS THERAPY, PLLC |
| Practice Address |
2319 N 45th St #110 Seattle WA 98103-6982 |
| Mailing Address |
6322 5th Ave Ne Seattle WA 98115-6518 |
| Practice Telephone | 9512954911 |
| Mailing Telephone | 9512954911 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Authorized Official Name | KELLEY CRANE (OWER; MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 9512954911 |
| Authorized Official Credential | MA, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF60445167 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2319 N 45TH ST #110 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-6982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982622957 | Rachel A Fay | Counselor | 2319 N 45th St, Ste 313, Seattle, WA 98103-6982 | 2006-07-18 |
| 1598146458 | Rosalind Ando | Counselor | 2319 N 45th St, Suite 309, Seattle, WA 98103 | 2015-06-16 |
| 1992195952 | Dwayne Robert Stone | Counselor | 2319 N 45th St, Suite 109, Seattle, WA 98103-6982 | 2015-01-29 |
| 1386051183 | Amanda Spiess | Behavioral Analyst | 2319 N 45th St, Seattle, WA 98103-6982 | 2014-07-14 |
| 1306261805 | Melinda Stone | Counselor | 2319 N 45th St, Seattle, WA 98103-6982 | 2014-02-20 |
| 1598188955 | Juan Pablo Valbuena, Psyd, Pllc | Psychologist | 2319 N 45th St, #106, Seattle, WA 98103-6982 | 2014-01-21 |
| 1700213048 | Margaret Kelly | Counselor | 2319 N 45th St, Suite 109, Seattle, WA 98103-6982 | 2013-10-01 |
| 1841623899 | Karen Michelle La Croix | Contractor | 2319 N 45th St, Suite 214, Seattle, WA 98103 | 2013-08-14 |
| 1730428384 | Rachel Newman | Counselor | 2319 N 45th St, 313, Seattle, WA 98103-6982 | 2013-02-01 |
| 1588908982 | Tracy Marie Kalloway | Counselor | 2319 N 45th St, #110, Seattle, WA 98103-6982 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| 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 |
|---|---|---|---|---|
| 1568070845 | Claudia Graciela Johnson | Marriage & Family Therapist | 2717 Western Ave Apt 5002, Seattle, WA 98121-1162 | 2020-07-22 |
| 1407478043 | Mariette Guidry | Marriage & Family Therapist | 1401 5th Ave N Apt 303, Seattle, WA 98109-3353 | 2020-05-16 |
| 1073144960 | Tara Murphy Therapy | Marriage & Family Therapist | 6701 Greenwood Ave N, Seattle, WA 98103-5225 | 2020-01-29 |
| 1770114605 | Danielle Lauren Gonzales | Marriage & Family Therapist | 5414 Delridge Way Sw Ste A, Seattle, WA 98106-1478 | 2020-01-29 |
| 1972142305 | Nicole Brown | Marriage & Family Therapist | 1804 10th Ave W, Seattle, WA 98119-2948 | 2020-01-02 |
| 1447898911 | Jennifer Alt | Marriage & Family Therapist | 5608 17th Ave Nw # 800, Seattle, WA 98107-5232 | 2019-12-16 |
| 1043869712 | Ekaterina Halligan | Marriage & Family Therapist | 1417 Nw 54th St Ste 355, Seattle, WA 98107-3575 | 2019-09-05 |
| 1205496767 | Aubree Irving | Marriage & Family Therapist | 229 Broadway E Ste 8, Seattle, WA 98102-5787 | 2019-06-17 |
| 1467914424 | Jamie Billetdeaux-deely | Marriage & Family Therapist | 2319 N 45th St Ste 205, Seattle, WA 98103-6978 | 2019-04-01 |
| 1972062396 | Maria Rosario Rodriguez Nava | Marriage & Family Therapist | 4555 Deldrige Way S.w., Seattle, WA 98106 | 2019-03-15 |
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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.