NPIMap

Organization Active NPI

Rooted Mental Health LLC

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1073219507
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTED MENTAL HEALTH LLC
Practice address
528 Cottage St NE Ste 401
Salem, OR 97301-3861
Phone
(503) 583-8537
Fax
(503) 343-3331
NPI assigned
Feb 6, 2023
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Elizabeth Delgros-Ryan, LCSWNPI 1023389970
Title
Owner
Phone
(412) 759-3919

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

528 Cottage St NE Ste 401
Salem, OR 97301-3861

Mailing address

528 Cottage St NE Ste 401
Salem, OR 97301-3861
Phone (503) 583-8537

Other practice location 1

528 Cottage St NE Ste 205
Salem, OR 97301-3828
Phone (503) 583-8537

Other identifiers 1

IdentifierTypeStateIssuer
500817801MedicaidOR

Other names 1

  • Elizabeth Delgros LCSW LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724004534 OR Part B Supplier - Clinic/Group Practice 8325584485 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

528 Cottage St NE
Ste 205
Salem, OR 97301
Phone (503) 583-8537

528 Cottage St NE
Ste 401
Salem, OR 97301
Phone (503) 583-4319

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1073219507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE STE 401",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013861",
            "telephone_number": "503-583-8537",
            "fax_number": "503-343-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE STE 401",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013861",
            "telephone_number": "503-583-8537",
            "fax_number": "503-343-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Cottage St NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013828",
            "country_code": "US",
            "telephone_number": "503-583-8537",
            "fax_number": "503-343-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "DELGROS-RYAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-759-3919",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500817801",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Delgros LCSW LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.