Organization Active NPI

Rooted Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1053271908
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROOTED MENTAL HEALTH SERVICES PLLC
Practice address
412 S 2ND St
St Charles, IL 60174-2819
Phone
(630) 381-5595
Fax
(331) 336-5640
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Lawal, APRNNPI 1427940238
Title
Pmhnp
Phone
(708) 222-7325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

412 S 2ND St
St Charles, IL 60174-2819

Mailing address

409 Twinleaf TRL
Yorkville, IL 60560-4690
Phone (708) 222-7325

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1053271908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TWINLEAF TRL",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604690",
            "telephone_number": "708-222-7325",
            "fax_number": "331-336-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742819",
            "telephone_number": "630-381-5595",
            "fax_number": "331-336-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "708-222-7325",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.