Roots Therapy NW LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROOTS THERAPY NW LLC

Practice address

6018 SE Stark St
Portland, OR 97215-1990

Phone

(971) 402-9488

Fax

(503) 974-6689

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Julia BrysonNPI 1457537128

Title

Member

Phone

(503) 922-9026

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 9

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

• Julia Amy Hill Bryson, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1457537128
  Medicare reassignment Care Compare group NPD Authorized official
• Nathan Edward Bryson, MSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1144423344
  Medicare reassignment Care Compare group NPD
• Hailey Coleman

  • Clinical Social Worker
  • Aloha, OR
  • NPI 1649888462
  Medicare reassignment NPD
• Jennifer Hoskins

  • Social Worker
  • Portland, OR
  • NPI 1255780573
  Medicare reassignment NPD
• Katherine Rachel Kilbourn

  • Mental Health Counselor
  • Portland, OR
  • NPI 1740922665
  Medicare reassignment
• Hailey Lynne Brown

  • Clinical Social Worker
  • Portland, OR
  • NPI 1346917705
  NPD
• Tanujini Rosalind Carlson, MA LMFT

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1497051916
  NPD
• Tara Misra, MS, MSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1417620154
  NPD
• Cynthia Stephan

  • Mental Health Counselor
  • Portland, OR
  • NPI 1437791159
  NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1831789098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151990",
            "telephone_number": "971-402-9488",
            "fax_number": "503-974-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151990",
            "telephone_number": "971-402-9488",
            "fax_number": "503-974-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS THERAPY NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-922-9026"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots Dental Stark LLC (Roots Dental)
• Roots Foundational Counseling LLC
• Roots Health Clinic LLC
• Roots Orthodontics LLC (Bridgetown Orthodontics)
• Roots Physical Therapy LLC
• Robert Whitney Rope, M.D.
• India Roper-Moyes
• Alonzo Steve Roper Jr.
• Whitney Roper, M.D.
• William Brian Roper

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.