Vital Roots Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VITAL ROOTS WELLNESS

Practice address

1622 N 48TH St
Milwaukee, WI 53208-2247

Phone

(262) 337-2746

NPI assigned

Jan 14, 2026

Last updated

Mar 10, 2026By 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

Todd M Thomas, LCSW, LICSW, LMFTNPI 1932452448

Title

Owner/Psychotherapist

Phone

(414) 200-9275

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd M. Thomas, LCSW, LICSW, LMFT

  • Social Worker
  • Milwaukee, WI
  • NPI 1932452448

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1851259170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 N 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082247",
            "telephone_number": "262-337-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 N 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082247",
            "telephone_number": "262-337-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ROOTS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-200-9275",
        "authorized_official_credential": "LCSW, LICSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Mary Visser, OTR
• Rasika Ramanathan Viswanathan, MD
• Vita Physical Therapy SC
• Vitae Health Medical Wisconsin LLC
• Vital Care Transit LLC
• Gerald L. Vitamvas, M.D.
• Vitas Healthcare Corporation Midwest
• Vitas Healthcare Corporation Midwest
• Jessica Vitch, AA
• Erica Vitek, OTR, BCB-PMD, PRPC

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.