Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fresh Roots, Inc

Organization Professional Counselor · NPI 1053479634

Fresh Roots, Inc is a Professional Counselor in Rogers, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

318 W Poplar St
Rogers, AR 72756-4559
Phone: (479) 986-8655
Fax: (479) 633-9398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence M9710002 (AR)
Professional Counselor Taxonomy 101YP2500X · Licence P9201002 (AR)

Record details

NPI number1053479634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dell Tyson — Co-Director · (479) 986-8655
Other names Fresh Roots Family Counseling
NPI enumeratedDecember 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address318 W Poplar St, Rogers, AR 72756-4559

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