MEDICARE: ROOTED AND RISING COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1205787561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED AND RISING COUNSELING LLC

Provider Business Mailing Address
First Line	:	312 HICKORY WOODS CT
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-2305
Country	:	US
Telephone Number	:	757-876-0511
Fax Number	:

Provider Business Practice Location Address
First Line	:	2832 S LYNNHAVEN RD STE 201
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6715
Country	:	US
Telephone Number	:	757-876-0511
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	TRACY ALBERTONI
Credential	:
Telephone Number	:	757-876-0511

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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