Organization Active NPI

Deep Roots Behavioral Health Co

  • Mental Health Counselor
  • New Castle, CO
National Provider Identifier
1275256356
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DEEP ROOTS BEHAVIORAL HEALTH CO
Practice address
13 Buckskin Cir
New Castle, CO 81647-9493
Phone
(952) 769-7400
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Tasha Rischmiller, LPCCNPI 1346905056
Title
Owner
Phone
(952) 769-7400

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

13 Buckskin Cir
New Castle, CO 81647-9493

Mailing address

13 Buckskin Cir
New Castle, CO 81647-9493
Phone (952) 769-7400

Other practice location 1

2103 County Road D E
Maplewood, MN 55109-5357
Phone (952) 769-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tasha@deeprootsbh.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240430001280 MN Part B Supplier - Clinic/Group Practice 0244670826 Receives reassigned benefits from 1 practitioner
Practice locations: Maplewood, MN
O20240502000567 CO Part B Supplier - Clinic/Group Practice 0244670826 Receives reassigned benefits from 1 practitioner
Practice locations: New Castle, CO

National Provider Directory

National Provider Directory

Locations

2103 County Road D E
Maplewood, MN 55109
Phone (651) 748-5019

199 Coon Rapids Blvd NW
Ste 208
Minneapolis, MN 55433
Phone (612) 418-0299

2103 County Road D E
Ste A100
Saint Paul, MN 55109
Phone (952) 769-7400

Interoperability endpoints

  • Direct secure messaging: tasha@deeprootsbh.com

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": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1275256356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BUCKSKIN CIR",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479493",
            "telephone_number": "952-769-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BUCKSKIN CIR",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479493",
            "telephone_number": "952-769-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 County Road D E",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095357",
            "country_code": "US",
            "telephone_number": "952-769-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEP ROOTS BEHAVIORAL HEALTH CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "RISCHMILLER",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-769-7400",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tasha@deeprootsbh.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13 Buckskin Cir",
            "city": "New Castle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816479493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.