RJ Tippett, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RJ TIPPETT, LLC

Doing business as

Rooted Therapeutic Healing

Practice address

5800 Monroe St Ste A9
Sylvania, OH 43560-2208

Phone

(419) 318-3818

Fax

(877) 927-2984

NPI assigned

Jul 24, 2023

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ashley Nichole Thielman, LISWNPI 1235607300

Title

Clinical Director

Phone

(419) 481-0806

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rooted Therapeutic Healing Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

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.

• Ashley Nichole Thielman, LISW

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1235607300
  Medicare reassignment Care Compare group NPD Authorized official
• Riann Tippett, LISW

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1104333186
  Medicare reassignment Care Compare group NPD
• Lindsay Gregorin, LISW

  • Social Worker
  • Toledo, OH
  • NPI 1598271215
  Medicare reassignment

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1407536436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25940 W RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519786",
            "telephone_number": "419-481-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A9",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-318-3818",
            "fax_number": "877-927-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4334 W Central Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436151679",
            "country_code": "US",
            "telephone_number": "419-766-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RJ TIPPETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "THIELMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "419-481-0806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022954",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Therapeutic Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rooted Therapeutic Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lily Ann Ringle
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 06681)
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 07946)
• Mahammad Rizvi, DO
• Mary Rizza, PH.D.
• Alyssa Anne Roberts, RN
• Kira Robertson, COTA/L
• Karen Robie, PH.D.
• Arlena Rachelle Robinson
• W Marie Robleski, COTA/L

• Clinical Social Worker in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.