DEEP ROOTS, PLLC
NPI 1528850690
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mankato, MN

Active since May 22, 2025
530 N RIVERFRONT DR STE 220, MANKATO, MN 56001(715) 212-7158 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deep Roots, Pllc NPPES

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

DEEP ROOTS, PLLC (NPI 1528850690), doing business as Deep Roots Counseling, is a healthcare organization registered as a mental health (including community mental health center) in Mankato, Minnesota and active in the NPI registry since May 2025. The organization lists Laura C Schultz, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1528850690
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDEEP ROOTS, PLLC
Location Address530 N RIVERFRONT DR STE 220Mankato, MN 56001-3627
Mailing Address908 N Broad StMankato, MN 56001-3329
Organization SubpartNo
Authorized OfficialLaura C SchultzOwner/operator · (715) 212-7158
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1528850690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
530 N RIVERFRONT DR STE 220, Mankato, MN 56001

Other Names 1

Doing Business AsDeep Roots Counseling

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deep Roots, 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 Deep Roots, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1699453084
1306 MARSHALL ST
Saint Peter, MN 56082
(507) 931-8040
✔ PECOS✔ Accepts Medicare12 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 Deep Roots, PLLC's NPI number?

The NPI number for Deep Roots, PLLC is 1528850690. It was assigned to this organization in the NPPES registry on May 22, 2025. The provider is doing business as Deep Roots Counseling.

Where is Deep Roots, PLLC located?

Deep Roots, PLLC is located at 530 N Riverfront Dr Ste 220, Mankato, MN 56001. The listed phone number is (715) 212-7158.

What is Deep Roots, PLLC'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 Deep Roots, PLLC enrolled in Medicare?

Yes. Deep Roots, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deep Roots, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Deep Roots, 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 Deep Roots, PLLC was last updated on May 22, 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.