ROOTS RENEWAL COUNSELING, INC
NPI 1336803451
Counselor - Mental Health in Bend, OR
About Roots Renewal Counseling, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTS RENEWAL COUNSELING, INC (NPI 1336803451) is a healthcare organization registered as a mental health in Bend, Oregon and active in the NPI registry since October 2021. The organization lists Stephanie Stockham-ronollo, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Renewal Counseling, Inc 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 Renewal Counseling, Inc, 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 Renewal Counseling, Inc's NPI number?
The NPI number for Roots Renewal Counseling, Inc is 1336803451. It was assigned to this organization in the NPPES registry on October 25, 2021.
Where is Roots Renewal Counseling, Inc located?
Roots Renewal Counseling, Inc is located at 61396 S Hwy 97 Ste 230, Bend, OR 97702. The listed phone number is (314) 200-5594.
What is Roots Renewal Counseling, Inc's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Roots Renewal Counseling, Inc enrolled in Medicare?
Yes. Roots Renewal Counseling, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roots Renewal Counseling, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Roots Renewal Counseling, Inc. 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.
What insurance does Roots Renewal Counseling, Inc accept?
Health plans from Providence Health Plan list Roots Renewal Counseling, Inc 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 Renewal Counseling, Inc was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Renewal Counseling, Inc · NPI 1336803451
Mental Health organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1336803451 (Entity type: Organization)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Stephanie Stockham-Ronollo, DIRECTOR
## Practice location
- **Address:** 61396 S HWY 97 STE 230, Bend, OR 97702-2558
- **Phone:** (314) 200-5594
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336803451) · Data from the CMS NPPES public registry.