Roots of Renewal Therapy PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROOTS OF RENEWAL THERAPY PLLC

Practice address

5254 Lee St
Skokie, IL 60077-2166

Phone

(773) 766-8374

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Andrew William Shelton, LCSWNPI 1215445945

Title

Owner

Phone

(773) 766-8374

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.

• Andrew William Shelton, LCSW

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1215445945
  NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1548065840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760514",
            "telephone_number": "773-766-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5254 LEE ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772166",
            "telephone_number": "773-766-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS OF RENEWAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-766-8374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malka Rokach
• Whitney Kreiter Rolling, LCSW
• Carmen Romero, PHYSICAL THERAPIST
• Yael Ron, PSY.D.
• Julianne Marie Rooney, MS, LCPC
• Claudia Alison Rose
• Mary Rose, LMFT
• Daphna Rosen, CPNP
• Refaella Rosen, MAAT
• Sy H Rosen, C.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Skokie, IL
• Providers in Skokie, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.