ROOTED THERAPEUTIC HEALING
NPI 1407536436
Social Worker - Clinical in Sylvania, OH

Active since July 24, 2023
5800 MONROE ST STE A9, SYLVANIA, OH 43560(419) 318-3818(877) 927-2984 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2024, Jul 24, 2023 (2 updates tracked since 2023).

About Rooted Therapeutic Healing NPPES

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

ROOTED THERAPEUTIC HEALING (NPI 1407536436) is a healthcare organization registered as a clinical in Sylvania, Ohio and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Toledo and lists Ashley Nichole Thielman, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1407536436
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRJ TIPPETT, LLC
Location Address5800 MONROE ST STE A9Sylvania, OH 43560-2208
Mailing Address25940 W River RdPerrysburg, OH 43551-9786 · (419) 481-0806
Fax(877) 927-2984
Organization SubpartNo
Authorized OfficialAshley Nichole ThielmanClinical Director · (419) 481-0806
Enumeration DateJuly 24, 2023
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1407536436 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.
5800 MONROE ST STE A9, Sylvania, OH 43560

Other Names 1

Doing Business AsRooted Therapeutic Healing

Secondary Practice Location 1

Location 14334 W Central Ave Ste 202Toledo, OH 43615-1679 · Phone (419) 766-9604

Other Identifiers 2

Medicaid0022954OH
Medicaid0221379OH

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

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)

Rooted Therapeutic Healing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rooted Therapeutic Healing, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1235607300
5800 MONROE ST STE A9
Sylvania, OH 43560
(419) 318-3818
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1104333186
5800 MONROE ST STE A9
Sylvania, OH 43560
(419) 766-9604
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1598271215
3222 W CENTRAL AVE
Toledo, OH 43606
(567) 316-7253
✔ PECOS3.8 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 Rj Tippett, LLC's NPI number?

The NPI number for Rj Tippett, LLC is 1407536436. It was assigned to this organization in the NPPES registry on July 24, 2023. The provider is doing business as Rooted Therapeutic Healing.

Where is Rj Tippett, LLC located?

Rj Tippett, LLC is located at 5800 Monroe St Ste A9, Sylvania, OH 43560. The listed phone number is (419) 318-3818.

What is Rj Tippett, LLC's specialty?

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

Is Rj Tippett, LLC enrolled in Medicare?

Yes. Rj Tippett, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rj Tippett, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Rj Tippett, 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rj Tippett, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Rj Tippett, 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 Rj Tippett, LLC was last updated on August 12, 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.