Organization Active NPI

Roots Mental Health Collective

  • Social Worker
  • Sioux Falls, SD
National Provider Identifier
1639083512
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ROOTS MENTAL HEALTH COLLECTIVE
Practice address
2601 N Career Ave Apt 271
Sioux Falls, SD 57107-1376
Phone
(605) 254-8026
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Davida Russell
Title
Owner
Phone
(605) 254-8026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2601 N Career Ave Apt 271
Sioux Falls, SD 57107-1376

Mailing address

2601 N Career Ave Apt 271
Sioux Falls, SD 57107-1376
Phone (605) 254-8026

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1639083512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N CAREER AVE APT 271",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571071376",
            "telephone_number": "605-254-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N CAREER AVE APT 271",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571071376",
            "telephone_number": "605-254-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS MENTAL HEALTH COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-254-8026"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.