ROOTED BLOOM THERAPY AND COUNSELING PLLC
NPI 1518752179
Social Worker in Clive, IA
About Rooted Bloom Therapy And Counseling Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTED BLOOM THERAPY AND COUNSELING PLLC (NPI 1518752179) is a healthcare organization registered as a social worker in Clive, Iowa and active in the NPI registry since April 2025. The organization lists Ellen Petersen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Bloom Therapy And Counseling 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 Rooted Bloom Therapy And Counseling PLLC, 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 Rooted Bloom Therapy And Counseling PLLC's NPI number?
The NPI number for Rooted Bloom Therapy And Counseling PLLC is 1518752179. It was assigned to this organization in the NPPES registry on April 14, 2025.
Where is Rooted Bloom Therapy And Counseling PLLC located?
Rooted Bloom Therapy And Counseling PLLC is located at 13137 University Ave Ste 140, Clive, IA 50325. The listed phone number is (515) 758-9606.
What is Rooted Bloom Therapy And Counseling PLLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Rooted Bloom Therapy And Counseling PLLC enrolled in Medicare?
Yes. Rooted Bloom Therapy And Counseling PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rooted Bloom Therapy And Counseling PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Rooted Bloom Therapy And Counseling 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 Rooted Bloom Therapy And Counseling PLLC was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Rooted Bloom Therapy And Counseling Pllc · NPI 1518752179
Social Worker organization in Clive, Iowa. Organization record, active in the CMS NPPES registry since April 14, 2025.
## Identity
- **NPI:** 1518752179 (Entity type: Organization)
- **Enumerated:** April 14, 2025
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** Ellen Petersen, OWNER
## Practice location
- **Address:** 13137 UNIVERSITY AVE STE 140, Clive, IA 50325-8299
- **Phone:** (515) 758-9606 · **Fax:** (515) 855-2525
## 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:** April 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1518752179) · Data from the CMS NPPES public registry.