ROOTS COUNSELING SERVICES, LLC (NPI# 1669889283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669889283 |
Entity Type | Organization |
Organization Name | ROOTS COUNSELING SERVICES, LLC |
Practice Address |
1681 N Prospect Ave Milwaukee WI 53202-6720 |
Practice Telephone | 4142738484 |
Practice Fax Number | 4144463317 |
Mailing Telephone | 4142738484 |
Mailing Fax Number | 4144463317 |
Enumeration Date | 2014-07-15 |
Last Update Date | 2017-05-01 |
Authorized Official Name | TREVOR NETTLES (ADMINISTRATOR) |
Authorized Official Telephone | 4142738484 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
1681 N PROSPECT AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53202-6720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518497189 | Jerrett Jay Fernandez | Counselor | 1681 N Prospect Ave, Milwaukee, WI 53202-6720 | 2017-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
Find all providers in zip 53202 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1568461846 | Meta House, Inc. | Clinic/Center | 2625 N Weil St, Milwaukee, WI 53212-3060 | 2005-07-19 |
1538634829 | 4th Dimension Recovery Centers | Clinic/Center | 1216 N Prospect Ave, Milwaukee, WI 53202-3061 | 2018-10-12 |
1821524018 | Sals Recovery Center LLC | Clinic/Center | 800 E Locust St, Milwaukee, WI 53212-2634 | 2017-05-07 |
1144400383 | Northern Crossing Behavioral Health Services, LLC | Clinic/Center | 5303 W North Ave, Milwaukee, WI 53208 | 2007-11-05 |
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1952860181 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 6080 S 108th St Ste B, Hales Corners, WI 53130-2557 | 2019-03-18 |
1184182602 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 2997 Yarmouth Greenway Dr Ste 100, Fitchburg, WI 53711-5809 | 2019-03-04 |
1912464934 | The Ladders Recovery Community | Clinic/Center | 1331 Capitol Dr, Oconomowoc, WI 53066-5705 | 2019-02-26 |
1093215410 | Ray Services LLC | Clinic/Center | 147 W Ryan Rd, Oak Creek, WI 53154-4401 | 2018-02-13 |
1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
1124372586 | Jessie Crawford Recovery Center, Inc. | Clinic/Center | 2101 N Sherman Ave, Madison, WI 53704-3932 | 2012-11-06 |
1184976201 | Rosecrance Inc | Clinic/Center | N27w23957 Paul Rd, Suite 101, Pewaukee, WI 53072-6223 | 2012-10-12 |
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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.