ROOT WELLNESS STUDIO, LLC (NPI# 1245665538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245665538 |
| Entity Type | Organization |
| Organization Name | ROOT WELLNESS STUDIO, LLC |
| Practice Address |
5378 Sterling Dr Studio 3 Boulder CO 80301-2351 |
| Practice Telephone | 3035053216 |
| Mailing Telephone | 3035053216 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | AMY J LYNN (CEO) |
| Authorized Official Telephone | 3035053216 |
| Authorized Official Credential | LCPC, ATR-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.006965 | IL | Behavioral Health & Social Service Providers |
| Street Address |
5378 STERLING DR STUDIO 3 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194935809 | Margaret M Van Rijssen | Art Therapist | 5378 Sterling Dr, Boulder, CO 80301-2351 | 2007-05-23 |
| 1497264790 | Lisa Stone | Counselor | 5378 Sterling Dr, Boulder, CO 80301-2351 | 2017-09-29 |
| 1104239748 | Lisa Stone Psychotherapy | Community/Behavioral Health | 5378 Sterling Dr, Boulder, CO 80301-2351 | 2014-06-10 |
| 1194159152 | Silvan Erb-summers | Counselor | 5378 Sterling Dr, Boulder, CO 80301-2351 | 2013-08-27 |
| 1497082259 | Kelly Ann Giliotti | Acupuncturist | 5378 Sterling Dr, Boulder, CO 80301-2351 | 2009-11-14 |
| 1679706287 | Catherine Houston | Counselor | 5378 Sterling Dr, Studio 6, Boulder, CO 80301-2351 | 2009-08-29 |
| 1932268786 | Sue Wallingford | Counselor | 5378 Sterling Dr, Boulder, CO 80301-2351 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558107 | Alec Farbman | Counselor | 1941 Pearl St Unit 202, Boulder, CO 80302-4467 | 2020-11-08 |
| 1942801378 | Chloe Sari Koeffler | Counselor | 2919 Valmont Rd Ste 209, Boulder, CO 80301-1350 | 2020-11-03 |
| 1114527660 | Anneva Noelle Knapp Garner | Counselor | 3363 Hickok Pl, Boulder, CO 80301-1984 | 2020-10-26 |
| 1215535828 | Emily Forse | Counselor | 1501 Yarmouth Ave Unit C-18, Boulder, CO 80304-0564 | 2020-10-15 |
| 1174121875 | Chris Cannon | Counselor | 3450 Hayden Pl Apt 3, Boulder, CO 80301-1929 | 2020-10-14 |
| 1992303911 | Riese Rose | Counselor | 4478 Hamilton Ct, Boulder, CO 80305-5554 | 2020-10-12 |
| 1477151728 | Karina Maria Tibble | Counselor | 5378 Sterling Dr # 1, Boulder, CO 80301-2351 | 2020-10-09 |
| 1902403538 | Brianna Kaylin Jones | Counselor | 2024 Goss St Apt 5, Boulder, CO 80302-6577 | 2020-10-06 |
| 1063029510 | Ryan O'millian | Counselor | 2919 Valmont Rd Ste 206, Boulder, CO 80301-1350 | 2020-09-29 |
| 1073123691 | Corinne Schuele | Counselor | 2299 Pearl St Ste 400a, Boulder, CO 80302-4673 | 2020-08-07 |
| Find all providers in BOULDER | ||||
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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.