Mountain Roots Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOUNTAIN ROOTS PSYCHOTHERAPY

Practice address

820 Maple Forest CT
Chesapeake, VA 23322-7566

Phone

(757) 818-1896

NPI assigned

Aug 14, 2026

Organization subpart

No

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

Authorized official

Name

Shelly Bleil, LCSWNPI 1659916120

Title

President

Phone

(757) 818-1896

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shelly Bleil, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1659916120
  NPD (past) Authorized official

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1538074562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MAPLE FOREST CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227566",
            "telephone_number": "757-818-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MAPLE FOREST CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227566",
            "telephone_number": "757-818-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Cedar Lakes Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233228374",
            "country_code": "US",
            "telephone_number": "757-818-1896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN ROOTS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "BLEIL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-818-1896",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lawrence Moss, DC
• Marcy Peck Mostofsky, CCC-SLP
• Mother & Sons Home Care, LLC
• Athena Moulton
• Mount Pleasant Clinical Associates
• Mountain Spring Vascular LLC
• Moving Forward Counseling & Consulting, LLC
• Moving Forward Family Services
• Regina Lyn Mowatt, B.S., BCAT, RBT
• Melissa Hogue Mowder, PH.D

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.