ROOTS INC. NPI 1972939494

NPI Information

  • NPI: 1972939494
  • Provider Name: ROOTS, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: ROOTS THROUGH RECOVERY
  • CLIA Number: 05D2153961
  • Address: 3939 ATLANTIC AVE
    SUITE 102
    LONG BEACH, CA
    ZIP 90807
  • Phone: (562) 473-0827

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NPI Details

ROOTS, INC. is a mental health (including community mental health center) clinic center in Long Beach, CA. ROOTS, INC. NPI is 1972939494. The provider is registered as an organization entity type.
The provider Is Doing Business As Roots Through Recovery.

The provider's business location address is:

3939 ATLANTIC AVE
SUITE 102
LONG BEACH, CA
ZIP 90807-536
Phone: (562) 473-0827

The provider's authorized official is Seth Blackburn .
The authorized official title is President and has the following contact phone number (562) 473-0827.

The CLIA number assigned to this NPI record is 05D2153961 - other - behavioral health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 1/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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