ROOTS & RIPTIDES PSYCHOTHERAPY PLLC
NPI 1235840612
Social Worker in York, ME
About Roots & Riptides Psychotherapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTS & RIPTIDES PSYCHOTHERAPY PLLC (NPI 1235840612) is a healthcare organization registered as a social worker in York, Maine and active in the NPI registry since December 2022. The organization lists Rebecca J Boyle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roots & Riptides Psychotherapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Roots & Riptides Psychotherapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 & Riptides Psychotherapy PLLC's NPI number?
The NPI number for Roots & Riptides Psychotherapy PLLC is 1235840612. It was assigned to this organization in the NPPES registry on December 7, 2022.
Where is Roots & Riptides Psychotherapy PLLC located?
Roots & Riptides Psychotherapy PLLC is located at 4 Market Place Dr Ste 201D, York, ME 03909. The listed phone number is (207) 994-9453.
What is Roots & Riptides Psychotherapy PLLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Roots & Riptides Psychotherapy PLLC enrolled in Medicare?
Yes. Roots & Riptides Psychotherapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roots & Riptides Psychotherapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Roots & Riptides Psychotherapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Roots & Riptides Psychotherapy PLLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Roots & Riptides Psychotherapy Pllc · NPI 1235840612
Social Worker organization in York, Maine. Organization record, active in the CMS NPPES registry since December 7, 2022.
## Identity
- **NPI:** 1235840612 (Entity type: Organization)
- **Enumerated:** December 7, 2022
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** Rebecca Boyle, OWNER
## Practice location
- **Address:** 4 MARKET PLACE DR STE 201D, York, ME 03909-1552
- **Phone:** (207) 994-9453 · **Fax:** (207) 221-1711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235840612) · Data from the CMS NPPES public registry.