ROOTS 45
NPI 1235725516
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gaylord, MI

Active since December 21, 2020
100 W 1ST ST, GAYLORD, MI 49735(989) 350-3053 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roots 45 NPPES

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

ROOTS 45 (NPI 1235725516) is a healthcare organization registered as a mental health (including community mental health center) in Gaylord, Michigan and active in the NPI registry since December 2020. The organization lists Jennifer Ellen Wummel, Bh Therapist, as its authorized official.

NPPES Registry Identity

NPI1235725516
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROOTS 45
Location Address100 W 1ST STGaylord, MI 49735-1355
Mailing Address2704 Hickorywood DrGaylord, MI 49735-6403 · (989) 350-3053
Organization SubpartNo
Authorized OfficialJennifer Ellen WummelBh Therapist · (989) 350-3053
Enumeration DateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
NPI 1235725516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
100 W 1ST ST, Gaylord, MI 49735

Other Identifiers 1

Other6801097139MI · Master's Social Worker License

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
100 W 1ST ST
GAYLORD, MI 49735

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 Roots 45's NPI number?

The NPI number for Roots 45 is 1235725516. It was assigned to this organization in the NPPES registry on December 21, 2020.

Where is Roots 45 located?

Roots 45 is located at 100 W 1st St, Gaylord, MI 49735. The listed phone number is (989) 350-3053.

What is Roots 45's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Roots 45 accept?

Health plans from Blue Care Network of Michigan list Roots 45 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roots 45 was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.