Sprouted Roots Therapy & Wellness, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPROUTED ROOTS THERAPY & WELLNESS, LLC

Doing business as

Sprouted Roots Wellness

Practice address

2127 NW Irving St Apt 103
Portland, OR 97210-5242

Phone

(971) 266-3590

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By 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

Karah Smith, MS CCC-SLP

Title

Speech-Language Pathologist

Phone

(971) 266-3590

Specialties & licenses 4

Addresses

Other names 1

• Sprouted Roots Wellness Doing business as

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1790250397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 NW IRVING ST APT 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105242",
            "telephone_number": "971-266-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 NW IRVING ST APT 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105242",
            "telephone_number": "971-266-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTED ROOTS THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KARAH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "971-266-3590",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprouted Roots Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane M Sproul, MS, LPC
• Kurt Woodruff Sproul, PCA, APCC, ACMHC
• Teri Fleckinger Sprouse, LCSW
• Sprout Therapy PDX
• Sprout Therapy PDX LLC (Sprout Therapy PDX)
• Cappy Anne Spruance
• Tamae Spruell
• Laura Spurgeon
• Stephen Edward Forbes Spurgeon, MD
• Katherine Walsh Spurgin, RDN, LD

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.