Organization Active NPI

Rooted Wellness Psychotherapy PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1376442814
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROOTED WELLNESS PSYCHOTHERAPY PLLC
Practice address
6933 S East End Ave
Chicago, IL 60649-1421
Phone
(804) 943-2174
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Ida Andarge, LCSW
Title
Ceo
Phone
(804) 943-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6933 S East End Ave
Chicago, IL 60649-1421

Mailing address

213 W Institute PL Ste 500
Chicago, IL 60610-8792
Phone (804) 943-2174

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1376442814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W INSTITUTE PL STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108792",
            "telephone_number": "804-943-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 S EAST END AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491421",
            "telephone_number": "804-943-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED WELLNESS PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "ANDARGE",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-943-2174",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.