Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEEPLY ROOTED FAMILY COUNSELING PROF CORP
NPI 1104697499
Counselor - Mental Health in Fresno, CA

Active since January 15, 2024
5740 N PALM AVE STE 101, FRESNO, CA 93704(559) 283-5441 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deeply Rooted Family Counseling Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEPLY ROOTED FAMILY COUNSELING PROF CORP (NPI 1104697499), doing business as Deeply Rooted Family Counseling, is a healthcare organization registered as a mental health in Fresno, California and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Fresno and lists Jackson Spencer, President/clinician, as its authorized official.

NPPES Registry Identity

NPI1104697499
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDEEPLY ROOTED FAMILY COUNSELING PROF CORP
Location Address5740 N PALM AVE STE 101Fresno, CA 93704-1800
Mailing Address5740 N Palm Ave Ste 101Fresno, CA 93704-1800 · (559) 547-0907 · Fax (559) 705-1921
Organization SubpartNo
Authorized OfficialJackson SpencerPresident/clinician · (559) 283-5441
Enumeration DateJanuary 15, 2024
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1104697499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5740 N PALM AVE STE 101, Fresno, CA 93704

Other Names 1

Doing Business AsDeeply Rooted Family Counseling

Secondary Practice Location 1

Location 15740 N Palm Ave Ste 111Fresno, CA 93704-1800 · Phone (559) 547-0907 · Fax (559) 705-1921

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
5740 N PALM AVE STE 101
FRESNO, CA 93704
Social Worker (Clinical)
5740 N PALM AVE STE 101
FRESNO, CA 93704
Marriage & Family Therapist
5740 N PALM AVE STE 101
FRESNO, CA 93704
Marriage & Family Therapist
5740 N PALM AVE STE 101
FRESNO, CA 93704
Counselor
5740 N PALM AVE STE 101
FRESNO, CA 93704
Social Worker (Clinical)
5740 N PALM AVE STE 101
FRESNO, CA 93704
Marriage & Family Therapist
5740 N PALM AVE STE 101
FRESNO, CA 93704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deeply Rooted Family Counseling Prof Corp's NPI number?

The NPI number for Deeply Rooted Family Counseling Prof Corp is 1104697499. It was assigned to this organization in the NPPES registry on January 15, 2024. The provider is doing business as Deeply Rooted Family Counseling.

Where is Deeply Rooted Family Counseling Prof Corp located?

Deeply Rooted Family Counseling Prof Corp is located at 5740 N Palm Ave Ste 101, Fresno, CA 93704. The listed phone number is (559) 283-5441.

What is Deeply Rooted Family Counseling Prof Corp's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deeply Rooted Family Counseling Prof Corp was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.