SECURE ROOTS THERAPY PLLC
NPI 1447198452
Counselor - Mental Health in Oak Forest, IL

Active since March 23, 2026
4845 167TH ST, OAK FOREST, IL 60452(708) 247-5818 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 3, 2026, Apr 11, 2026, Mar 23, 2026 (3 updates tracked since 2026).

About Secure Roots Therapy Pllc NPPES

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

SECURE ROOTS THERAPY PLLC (NPI 1447198452) is a healthcare organization registered as a mental health in Oak Forest, Illinois and active in the NPI registry since March 2026. The organization lists Kayla Lucas, Owner, as its authorized official.

NPPES Registry Identity

NPI1447198452
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSECURE ROOTS THERAPY PLLC
Location Address4845 167TH STOak Forest, IL 60452-4507
Mailing Address4845 167th StOak Forest, IL 60452-4507 · (708) 247-5818
Organization SubpartNo
Authorized OfficialKayla LucasOwner · (708) 247-5818
Enumeration DateMarch 23, 2026
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1447198452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4845 167TH ST, Oak Forest, IL 60452

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Secure Roots Therapy Pllc 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 Secure Roots Therapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1922869965
4845 167TH ST
Oak Forest, IL 60452
(708) 247-5818
✔ PECOSSame 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 Secure Roots Therapy PLLC's NPI number?

The NPI number for Secure Roots Therapy PLLC is 1447198452. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Secure Roots Therapy PLLC located?

Secure Roots Therapy PLLC is located at 4845 167th St, Oak Forest, IL 60452. The listed phone number is (708) 247-5818.

What is Secure Roots Therapy PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Secure Roots Therapy PLLC enrolled in Medicare?

Yes. Secure Roots Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Secure Roots Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Secure Roots Therapy PLLC. 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.

When was this NPI record last updated?

The NPPES record for Secure Roots Therapy PLLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.