Organization Active NPI

Rooted Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pella, IA
National Provider Identifier
1942910625
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROOTED THERAPY SERVICES, LLC
Practice address
1109 Roosevelt Rd
Pella, IA 50219-7965
Phone
(641) 780-0864
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Julie Lynn HooyerNPI 1881930725
Title
Social Worker
Phone
(641) 780-0864

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1109 Roosevelt Rd
Pella, IA 50219-7965

Mailing address

PO Box 687
Pella, IA 50219-0687
Phone (641) 780-0864

Other identifiers 1

IdentifierTypeStateIssuer
1881930725OtherNPI 1

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie@rootedtherapyiowa.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229000444 IA Part B Supplier - Clinic/Group Practice 9133599517 Receives reassigned benefits from 1 practitioner
Practice locations: Pella, IA

National Provider Directory

National Provider Directory

Locations

1109 Roosevelt Rd
Pella, IA 50219
Phone (641) 780-0864

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1942910625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502190687",
            "telephone_number": "641-780-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 ROOSEVELT RD",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197965",
            "telephone_number": "641-780-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "HOOYER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "641-780-0864"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1881930725",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie@rootedtherapyiowa.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "address_1": "1109 Roosevelt Rd",
            "city": "Pella",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502197965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.