Organization Active NPI

Rooted Integrative Therapy Services, PLLC

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1871479618
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTED INTEGRATIVE THERAPY SERVICES, PLLC
Practice address
2926 N Primrose LN
Decatur, IL 62526-1550
Phone
(217) 454-8708
Fax
(217) 706-5779
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Miss Adrian Marie Byrd, LCSWNPI 1194992503
Title
Owner/Therapist
Phone
(217) 454-8708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2926 N Primrose LN
Decatur, IL 62526-1550

Mailing address

2926 N Primrose LN
Decatur, IL 62526-1550
Phone (217) 454-8708

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1871479618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 N PRIMROSE LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261550",
            "telephone_number": "217-454-8708",
            "fax_number": "217-706-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 N PRIMROSE LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261550",
            "telephone_number": "217-454-8708",
            "fax_number": "217-706-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED INTEGRATIVE THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "217-454-8708",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.