Organization Active NPI

Mindfulrootshealingcenter

  • Psychiatric/Mental Health Nurse Practitioner
  • Libertyville, IL
National Provider Identifier
1871415661
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFULROOTSHEALINGCENTER
Practice address
31111 Sage CT
Libertyville, IL 60048-1114
Phone
(224) 970-1355
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Gehovell Rounds, PMHNPNPI 1386576767
Title
Pmhnp
Phone
(224) 475-8382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

31111 Sage CT
Libertyville, IL 60048-1114

Mailing address

6615 Grand Ave # 6048
Gurnee, IL 60031-4591
Phone (224) 970-1355

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1871415661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GRAND AVE # 6048",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314591",
            "telephone_number": "224-970-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31111 SAGE CT",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481114",
            "telephone_number": "224-970-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULROOTSHEALINGCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "ROUNDS",
        "authorized_official_first_name": "GEHOVELL",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "224-475-8382",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.