1. Home
  2. Directory
  3. Maryland
  4. Montgomery Village
  5. Counselor
  6. NPI Profile

ROOTED THERAPEUTIC CENTER
NPI 1184208407
Counselor - Mental Health in Montgomery Village, MD

Active since May 12, 2021
20312 GRAZING WAY, MONTGOMERY VILLAGE, MD 20886(240) 644-7534 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rooted Therapeutic Center NPPES

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

ROOTED THERAPEUTIC CENTER (NPI 1184208407) is a healthcare organization registered as a mental health in Montgomery Village, Maryland and active in the NPI registry since May 2021. The organization lists Manuela E. Mbouma, Founder/therapist, as its authorized official.

NPPES Registry Identity

NPI1184208407
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameROOTED THERAPEUTIC CENTER
Location Address20312 GRAZING WAYMontgomery Village, MD 20886-1210
Mailing Address20312 Grazing WayMontgomery Village, MD 20886-1210
Phone(240) 644-7534
Organization SubpartNo
Authorized OfficialManuela E. MboumaFounder/therapist · (240) 644-7534
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1184208407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20312 GRAZING WAY, Montgomery Village, MD 20886
Open in Google Maps ↗

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 2

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

TIFFANY SINGLETARY
Counselor (Professional)
20312 GRAZING WAY
MONTGOMERY VILLAGE, MD 20886
Montgomery County (301) 778-8567
MISS IAH SAYELLE NOCEJA LGPC
Counselor (Professional)
20312 GRAZING WAY
MONTGOMERY VILLAGE, MD 20886
Montgomery County (301) 448-7272

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 Rooted Therapeutic Center's NPI number?

The NPI number for Rooted Therapeutic Center is 1184208407. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Rooted Therapeutic Center located?

Rooted Therapeutic Center is located at 20312 Grazing Way, Montgomery Village, MD 20886. The listed phone number is (240) 644-7534.

What is Rooted Therapeutic Center'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 Rooted Therapeutic Center was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.