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ROOT AND BLOOM WELLNESS LLC
NPI 1386417590
Social Worker - Clinical in Grand Rapids, MI

Active since October 31, 2023
4867 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 340-5617 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Root And Bloom Wellness Llc NPPES

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

ROOT AND BLOOM WELLNESS LLC (NPI 1386417590) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since October 2023. The organization lists Amber Faith Fox, Owner/lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1386417590
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameROOT AND BLOOM WELLNESS LLC
Location Address4867 E BELTLINE AVE NEGrand Rapids, MI 49525-9787
Mailing Address3090 Amon Ave NeGrand Rapids, MI 49525-3059 · (616) 340-5617
Phone(616) 340-5617
Organization SubpartNo
Authorized OfficialAmber Faith FoxOwner/lead Therapist · (616) 340-5617
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1386417590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4867 E BELTLINE AVE NE, Grand Rapids, MI 49525
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Root And Bloom Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Root And Bloom Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Marianne Boykin, LPC
Mental Health Counselor
NPI 1073942033
5020 E BELTLINE AVE NE STE 202
Grand Rapids, MI 49525
(616) 439-2900
✔ PECOS✔ Accepts Medicare0.4 mi
Amber Fox
Clinical Social Worker
NPI 1679279632
420 GIDDINGS AVE SE
Grand Rapids, MI 49506
(616) 340-5617
✔ PECOS7.0 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 Root And Bloom Wellness LLC's NPI number?

The NPI number for Root And Bloom Wellness LLC is 1386417590. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is Root And Bloom Wellness LLC located?

Root And Bloom Wellness LLC is located at 4867 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 340-5617.

What is Root And Bloom Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Root And Bloom Wellness LLC enrolled in Medicare?

Yes. Root And Bloom Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Root And Bloom Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Root And Bloom Wellness LLC, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Root And Bloom Wellness LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Root And Bloom Wellness LLC 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 Root And Bloom Wellness LLC was last updated on October 31, 2023. 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.