Fresh Roots, Inc.
Fresh Roots, Inc. is a healthcare organization registered as Marriage & Family Therapist in Rogers, AR, holding Type 2 (organization) NPI 1053479634 since 2006. The authorized official on file is Dell Tyson, Co-Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053479634 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fresh Roots, Inc. |
| Other name | <Unavail> |
| Practice address | 318 W POPLAR ST, Rogers, AR, 72756 |
| Phone | 4799868655 |
| Fax | 4796339398 |
| Enumeration date | 2006-12-05 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Dell Tyson |
|---|---|
| Title | Co-Director |
| Phone | 4799868655 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Secondary | P9201002 | AR |
| 106H00000X | Marriage & Family Therapist | Primary | M9710002 | AR |
Copy-ready billing details
Provider: Fresh Roots, Inc. NPI: 1053479634 Taxonomy: 106H00000X (Marriage & Family Therapist) Address: 318 W POPLAR ST, Rogers, AR, 72756
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003826934 | Judith Pufall | Individual | Marriage & Family Therapist | Rogers, AR |
| 1659605269 | Temple Carson | Individual | Professional Counselor | Rogers, AR |
Verify this record
Cross-check NPI 1053479634 against the authoritative CMS record: view Fresh Roots, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Fresh Roots, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.