ROOTED MENTAL HEALTH SERVICES PLLC
NPI 1053271908
Nurse Practitioner - Psychiatric/Mental Health in St Charles, IL

Active since November 13, 2025
412 S 2ND ST, ST CHARLES, IL 60174(630) 381-5595(331) 336-5640 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rooted Mental Health Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTED MENTAL HEALTH SERVICES PLLC (NPI 1053271908) is a healthcare organization registered as a psychiatric/mental health in St Charles, Illinois and active in the NPI registry since November 2025. The organization lists Amanda Lawal, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1053271908
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameROOTED MENTAL HEALTH SERVICES PLLC
Location Address412 S 2ND STSt Charles, IL 60174-2819
Mailing Address409 Twinleaf TrlYorkville, IL 60560-4690 · (708) 222-7325 · Fax (331) 336-5640
Fax(331) 336-5640
Organization SubpartNo
Authorized OfficialAmanda LawalPmhnp · (708) 222-7325
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
NPI 1053271908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
412 S 2ND ST, St Charles, IL 60174

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
412 S 2ND ST
ST CHARLES, IL 60174
Counselor (Professional)
412 S 2ND ST
ST CHARLES, IL 60174
Clinic/Center (Mental Health (Including Community Mental Health Center))
412 S 2ND ST
ST CHARLES, IL 60174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rooted Mental Health Services PLLC's NPI number?

The NPI number for Rooted Mental Health Services PLLC is 1053271908. It was assigned to this organization in the NPPES registry on November 13, 2025.

Where is Rooted Mental Health Services PLLC located?

Rooted Mental Health Services PLLC is located at 412 S 2nd St, St Charles, IL 60174. The listed phone number is (630) 381-5595.

What is Rooted Mental Health Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Rooted Mental Health Services PLLC was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.