SIMPLY ROOTED SPEECH & WELLNESS LLC
NPI 1265153761
Speech-Language Pathologist in Mesa, AZ

Q: What is Simply Rooted Speech & Wellness LLC's NPI number?

The NPI number for Simply Rooted Speech & Wellness LLC is 1265153761. It was assigned to this organization in the NPPES registry on September 5, 2022.

Q: What is Simply Rooted Speech & Wellness LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since September 05, 2022

1910 S STAPLEY DR STE 221, MESA, AZ 85204(480) 573-2262(480) 573-2169 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Apr 13, 2023, Jan 11, 2023 and 2 more (5 updates tracked since 2022).

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About Simply Rooted Speech & Wellness Llc NPPES

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

SIMPLY ROOTED SPEECH & WELLNESS LLC (NPI 1265153761) is a healthcare organization registered as a speech-language pathologist in Mesa, Arizona and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Gilbert and lists Heather Main, Administrator, Owner, as its authorized official.

NPPES Registry Identity

NPI1265153761

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameSIMPLY ROOTED SPEECH & WELLNESS LLC

Location Address1910 S STAPLEY DR STE 221Mesa, AZ 85204-6680

Mailing Address10144 E Cintron DrMesa, AZ 85212-9579 · (480) 573-2262 · Fax (480) 573-2169

Phone(480) 573-2262

Fax(480) 573-2169

Organization SubpartNo

Authorized OfficialHeather MainAdministrator, Owner · (480) 573-2262

Enumeration DateSeptember 5, 2022

Last NPPES UpdateJuly 9, 20245 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1265153761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedNutritionistTaxonomy 133N00000X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X

1910 S STAPLEY DR STE 221, Mesa, AZ 85204

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Secondary Practice Location 1

Location 11166 E Warner Rd Ste 101Gilbert, AZ 85296-3065 · Phone (480) 573-2262 · Fax (480) 573-2169

Other Identifiers 1

Medicaid161344AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simply Rooted Speech & Wellness Llc 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 Simply Rooted Speech & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joy Leslie, SLP

Qualified Speech Language Pathologist

NPI 1437212263

930 W SOUTHERN AVE
Mesa, AZ 85210

(480) 835-0857

2.7 mi

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 Simply Rooted Speech & Wellness LLC's NPI number?

The NPI number for Simply Rooted Speech & Wellness LLC is 1265153761. It was assigned to this organization in the NPPES registry on September 5, 2022.

Where is Simply Rooted Speech & Wellness LLC located?

Simply Rooted Speech & Wellness LLC is located at 1910 S Stapley Dr Ste 221, Mesa, AZ 85204. The listed phone number is (480) 573-2262.

What is Simply Rooted Speech & Wellness LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Simply Rooted Speech & Wellness LLC enrolled in Medicare?

Yes. Simply Rooted Speech & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simply Rooted Speech & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Simply Rooted Speech & Wellness LLC. 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 Simply Rooted Speech & Wellness LLC was last updated on July 9, 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.