ROOTS OF RENEWAL THERAPY PLLC
NPI 1548065840
Clinic/Center - Mental Health (Including Community Mental Health Center) in Skokie, IL

Q: What is Roots Of Renewal Therapy PLLC's NPI number?

The NPI number for Roots Of Renewal Therapy PLLC is 1548065840. It was assigned to this organization in the NPPES registry on February 19, 2025.

Q: What is Roots Of Renewal Therapy 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.

Active since February 19, 2025

5254 LEE ST, SKOKIE, IL 60077(773) 766-8374 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Feb 19, 2025 (2 updates tracked since 2025).

On this page

About Roots Of Renewal Therapy Pllc NPPES

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

ROOTS OF RENEWAL THERAPY PLLC (NPI 1548065840) is a healthcare organization registered as a mental health (including community mental health center) in Skokie, Illinois and active in the NPI registry since February 2025. The organization lists Andrew William Shelton, Owner, as its authorized official.

NPPES Registry Identity

NPI1548065840

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameROOTS OF RENEWAL THERAPY PLLC

Location Address5254 LEE STSkokie, IL 60077-2166

Mailing AddressPo Box 514Skokie, IL 60076-0514 · (773) 766-8374

Phone(773) 766-8374

Organization SubpartNo

Authorized OfficialAndrew William SheltonOwner · (773) 766-8374

Enumeration DateFebruary 19, 2025

Last NPPES UpdateMay 22, 20252 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1548065840 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

5254 LEE ST, Skokie, IL 60077

Open in Google Maps ↗

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 Roots Of Renewal Therapy PLLC's NPI number?

The NPI number for Roots Of Renewal Therapy PLLC is 1548065840. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Roots Of Renewal Therapy PLLC located?

Roots Of Renewal Therapy PLLC is located at 5254 Lee St, Skokie, IL 60077. The listed phone number is (773) 766-8374.

What is Roots Of Renewal Therapy 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.

When was this NPI record last updated?

The NPPES record for Roots Of Renewal Therapy 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 14 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.