Active NPI
Rooted Minds LLC
- Psychiatric/Mental Health Nurse Practitioner
- Kalamazoo, MI
National Provider Identifier
1932912425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ROOTED MINDS LLC
- Practice address
- 6980 Stadium Dr Ste 101
Kalamazoo, MI 49009-6781 - Phone
- (269) 267-0889
- NPI assigned
- Jan 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rochelle Edwards, PMHNP-BC
- Title
- Psychiatric Mental Health NP
- Phone
- (269) 267-0889
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6980 Stadium Dr Ste 101
Kalamazoo, MI 49009-6781
Mailing address
6980 Stadium Dr Ste 101
Kalamazoo, MI 49009-6781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bingham Farms, MI
- NPI 1467926592
-
- Psychiatric/Mental Health Nurse Practitioner
- Livonia, MI
- NPI 1841834306
-
- Psychiatric/Mental Health Nurse Practitioner
- Kalamazoo, MI
- NPI 1619481934
-
- Social Worker
- Portage, MI
- NPI 1477890960
-
- Clinical Psychologist
- Bingham Farms, MI
- NPI 1013072164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1932912425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6980 STADIUM DR STE 101",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6980 STADIUM DR STE 101",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096781",
"telephone_number": "269-267-0889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED MINDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-29",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
"authorized_official_telephone_number": "269-267-0889",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.