ROOTS THROUGH RECOVERY
NPI 1972939494
Clinic/Center - Mental Health (Including Community Mental Health Center) in Long Beach, CA

NPI Status: Active since September 16, 2013

Contact Information

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

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 05D2153961
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH CLINIC
  • CLIA Exp. Date: 06-08-2026

About ROOTS THROUGH RECOVERY

This page provides the complete NPI Profile along with additional information for Roots Through Recovery, a provider established in Long Beach, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1972939494 assigned on September 2013. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Roots Through Recovery. The authorized official of this NPI record is Seth Blackburn (President)

NPI
1972939494
Provider Legal Name
ROOTS, INC.
Other Organization Name
ROOTS THROUGH RECOVERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3939 ATLANTIC AVE SUITE 102 LONG BEACH, CA 90807
Location Phone
(562) 473-0827
Mailing Address
3939 ATLANTIC AVE SUITE 102 LONG BEACH, CA 90807
Mailing Phone
(562) 473-0827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2013
Last Update Date
01-03-2021
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Location Map

Secondary Locations

  • 3939 Atlantic Ave Ste 223
    Long Beach, CA 90807
    (562) 222-9052

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SETH BLACKBURN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(562) 473-0827

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2153961
Facility Type
Other - BEHAVIORAL HEALTH CLINIC
Certificate Effective Date
June 09, 2024
Certificate Expiration Date
June 08, 2026
Laboratory Director
ANDREI DOKUKIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Roots Through Recovery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972939494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 8 + 3 + 1 + 8 + 4 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1972939494.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
3939 ATLANTIC AVE, SUITE 208
LONG BEACH, CA 90807
Social Worker (Clinical)
3939 ATLANTIC AVE, 208
LONG BEACH, CA 90807
Chiropractor
3939 ATLANTIC AVE, SUITE 203
LONG BEACH, CA 90807
Chiropractor
3939 ATLANTIC AVE, SUITE 203
LONG BEACH, CA 90807
Hospice Care, Community Based
3939 ATLANTIC AVE, SUITE 216
LONG BEACH, CA 90807
Social Worker (Clinical)
3939 ATLANTIC AVE, # 208
LONG BEACH, CA 90807
Internal Medicine
3939 ATLANTIC AVE, SUITE 205
LONG BEACH, CA 90807
General Practice
3939 ATLANTIC AVE, STE 100
LONG BEACH, CA 90807
Specialist
3939 ATLANTIC AVE, SUITE #100
LONG BEACH, CA 90807
Chiropractor
3939 ATLANTIC AVE, SUITE 223
LONG BEACH, CA 90807
Specialist
3939 ATLANTIC AVE, SUITE 100
LONG BEACH, CA 90807
Psychologist (Clinical)
3939 ATLANTIC AVE, #108
LONG BEACH, CA 90807
Marriage & Family Therapist
3939 ATLANTIC AVE, STE. 103
LONG BEACH, CA 90807
Rehabilitation Practitioner
3939 ATLANTIC AVE, SUITE #103
LONG BEACH, CA 90807
Marriage & Family Therapist
3939 ATLANTIC AVE, STE. 103
LONG BEACH, CA 90807
Social Worker (Clinical)
3939 ATLANTIC AVE, STE 201
LONG BEACH, CA 90807
Counselor (Mental Health)
3939 ATLANTIC AVE, SUITE 103
LONG BEACH, CA 90807
Case Manager/Care Coordinator
3939 ATLANTIC AVE, SUITE 103
LONG BEACH, CA 90807
Case Manager/Care Coordinator
3939 ATLANTIC AVE
LONG BEACH, CA 90807
Case Manager/Care Coordinator
3939 ATLANTIC AVE
LONG BEACH, CA 90807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972939494, enumerated as an "organization" on September 16, 2013.

The provider is located at 3939 ATLANTIC AVE SUITE 102 LONG BEACH, CA 90807 and the phone number is (562) 473-0827.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).