Organization Active NPI

Well Rooted Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
National Provider Identifier
1568324150
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELL ROOTED THERAPY SERVICES LLC
Practice address
2426 S Shadow Grove CT
Bloomington, IN 47401-4334
Phone
(812) 269-6332
NPI assigned
Dec 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Miriam Selah Katz, LMFT PMH-C
Title
Therapist
Phone
(812) 361-8105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2426 S Shadow Grove CT
Bloomington, IN 47401-4334

Mailing address

2426 S Shadow Grove CT
Bloomington, IN 47401-4334

National Provider Directory

National Provider Directory

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": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1568324150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 S SHADOW GROVE CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S SHADOW GROVE CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014334",
            "telephone_number": "812-269-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ROOTED THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "SELAH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-361-8105",
        "authorized_official_credential": "LMFT PMH-C"
    },
    "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": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.