Roots and Bloom Therapy PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ROOTS AND BLOOM THERAPY PLLC

Practice address

480 Elm PL
Highland Park, IL 60035-2538

Phone

(847) 340-7386

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle KowalskiNPI 1578673869

Title

Owner

Phone

(847) 340-7386

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michelle L. Kowalski, LCSW

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1578673869
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1225715360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HICKORY LN",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693122",
            "telephone_number": "847-940-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ELM PL",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352538",
            "telephone_number": "847-340-7386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Old Orchard Rd Ste 29",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771027",
            "country_code": "US",
            "telephone_number": "847-340-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS AND BLOOM THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-340-7386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lindsay Robin, LCPC
• Cindy Robinson, LCPC
• Rochelle Rodriguez, OT/L
• Abby Nichole Rohlfing, MOT, OTR/L
• Arlene Rojo, PT
• Aryn Rose, LSW
• Carol Ann Rosenberg, MD
• Michael S. Rosenberg, M.D.
• Robert Rosencrans, PHD
• Keiffher Josh Rosendo, PHARMD

• Adolescent and Children Mental Health Clinic/Center in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.