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

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: August 16, 2026.

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

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
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
1910 S STAPLEY DR STE 221, Mesa, AZ 85204

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

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Adolescent and Children Mental Health)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Psychologist (Clinical)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Case Manager/Care Coordinator
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Dietitian, Registered
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Specialist/Technologist (Speech-Language Assistant)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Social Worker (Clinical)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Specialist/Technologist (Speech-Language Assistant)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Social Worker (Clinical)
1910 S STAPLEY DR STE 221
MESA, AZ 85204

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.

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.