NORTH SHORE ROOTS LLC
NPI 1508758673
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salem, MA
About North Shore Roots Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE ROOTS LLC (NPI 1508758673) is a healthcare organization registered as a mental health (including community mental health center) in Salem, Massachusetts and active in the NPI registry since July 2025. The organization lists Tara Murray, Outpatient Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Shore Roots 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 North Shore Roots LLC, 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 North Shore Roots LLC's NPI number?
The NPI number for North Shore Roots LLC is 1508758673. It was assigned to this organization in the NPPES registry on July 15, 2025.
Where is North Shore Roots LLC located?
North Shore Roots LLC is located at 21 Goodell St Apt 1, Salem, MA 01970. The listed phone number is (978) 766-9904.
What is North Shore Roots LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is North Shore Roots LLC enrolled in Medicare?
Yes. North Shore Roots LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Shore Roots LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to North Shore Roots 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.
When was this NPI record last updated?
The NPPES record for North Shore Roots LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# North Shore Roots Llc · NPI 1508758673
Mental Health (Including Community Mental Health Center) organization in Salem, Massachusetts. Organization record, active in the CMS NPPES registry since July 15, 2025.
## Identity
- **NPI:** 1508758673 (Entity type: Organization)
- **Enumerated:** July 15, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tara Murray, OUTPATIENT THERAPIST
## Practice location
- **Address:** 21 GOODELL ST APT 1, Salem, MA 01970-1582
- **Phone:** (978) 766-9904
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508758673) · Data from the CMS NPPES public registry.