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ROOTS AND WINGS COUNSELING WILLOW TREE WELLNESS LLC
NPI 1407220767
Social Worker - Clinical in Missoula, MT

Active since November 23, 2015
415 N HIGGINS AVE, SUITE 122, MISSOULA, MT 59802(406) 203-6937(844) 965-9168 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2015, Nov 23, 2015 (2 updates tracked since 2015).

About Roots And Wings Counseling Willow Tree Wellness Llc NPPES

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

ROOTS AND WINGS COUNSELING WILLOW TREE WELLNESS LLC (NPI 1407220767) is a healthcare organization registered as a clinical in Missoula, Montana and active in the NPI registry since November 2015. The organization lists Cynthia Randles, Owner, as its authorized official.

NPPES Registry Identity

NPI1407220767
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameROOTS AND WINGS COUNSELING WILLOW TREE WELLNESS LLC
Location Address415 N HIGGINS AVE, SUITE 122Missoula, MT 59802-4557
Mailing Address415 N Higgins Ave, Suite 122Missoula, MT 59802-4557 · (406) 203-6937 · Fax (844) 965-9168
Phone(406) 203-6937
Fax(844) 965-9168
Organization SubpartNo
Authorized OfficialCynthia RandlesOwner · (406) 203-6937
Enumeration DateNovember 23, 2015
Last NPPES UpdateDecember 4, 20152 updates tracked since enumeration
✔ NPI 1407220767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MT · 7134
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.
415 N HIGGINS AVE, Missoula, MT 59802
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Other Identifiers 1

Other1043632177MT · Npi As Individual

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 Cross and Blue Shield of Montana.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 And Wings Counseling Willow Tree 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 Roots And Wings Counseling Willow Tree Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cynthia Randles, LCSW
Clinical Social Worker
NPI 1043632177
415 N HIGGINS AVE SUITE 122
Missoula, MT 59802
(406) 203-6937
✔ PECOS✔ Accepts MedicareSame address

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 And Wings Counseling Willow Tree Wellness LLC's NPI number?

The NPI number for Roots And Wings Counseling Willow Tree Wellness LLC is 1407220767. It was assigned to this organization in the NPPES registry on November 23, 2015.

Where is Roots And Wings Counseling Willow Tree Wellness LLC located?

Roots And Wings Counseling Willow Tree Wellness LLC is located at 415 N Higgins Ave Suite 122, Missoula, MT 59802. The listed phone number is (406) 203-6937.

What is Roots And Wings Counseling Willow Tree Wellness LLC's specialty?

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

Is Roots And Wings Counseling Willow Tree Wellness LLC enrolled in Medicare?

Yes. Roots And Wings Counseling Willow Tree Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roots And Wings Counseling Willow Tree Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Roots And Wings Counseling Willow Tree 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.

What insurance does Roots And Wings Counseling Willow Tree Wellness LLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Roots And Wings Counseling Willow Tree 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 Roots And Wings Counseling Willow Tree Wellness LLC was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.