Active NPI
Rooted Heart Therapy LLC
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1083457907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ROOTED HEART THERAPY LLC
- Practice address
- 2355 State St Ste 101
Salem, OR 97301-4541 - Phone
- (619) 757-7394
- NPI assigned
- Jun 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thaddeus Frederick Day
- Title
- Mental Health Therapist
- Phone
- (971) 812-1596
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2355 State St Ste 101
Salem, OR 97301-4541
Mailing address
5441 S Macadam Ave # 4340
Portland, OR 97239-6106
Phone (971) 812-1596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500809181 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Portland, OR
- NPI 1982336301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1083457907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE # 4340",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "971-812-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 STATE ST STE 101",
"city": "SALEM",
"state": "OR",
"postal_code": "973014541",
"telephone_number": "619-757-7394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED HEART THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-18",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "THADDEUS",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "971-812-1596"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500809181",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.