ROOTS COUNSELING SERVICES, LLC
NPI 1669889283
Clinic/Center - Rehabilitation, Substance Use Disorder in Shorewood, WI

Q: What is Roots Counseling Services, LLC's NPI number?

The NPI number for Roots Counseling Services, LLC is 1669889283. It was assigned to this organization in the NPPES registry on July 15, 2014.

Q: What is Roots Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since July 15, 2014CLIA 52D2168137 · Waiver

4485 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 273-8484(414) 446-3317 Get Directions Write a Review

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

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About Roots Counseling Services, Llc NPPES

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

ROOTS COUNSELING SERVICES, LLC (NPI 1669889283) is a healthcare organization registered as a rehabilitation, substance use disorder in Shorewood, Wisconsin and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Trevor Nettles, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669889283

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameROOTS COUNSELING SERVICES, LLC

Location Address4485 N OAKLAND AVEShorewood, WI 53211-1611

Mailing Address4485 N Oakland AveShorewood, WI 53211-1611 · (414) 273-8484 · Fax (414) 446-3317

Phone(414) 273-8484

Fax(414) 446-3317

Organization SubpartNo

Authorized OfficialTrevor NettlesAdministrator · (414) 273-8484

Enumeration DateJuly 15, 2014

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1669889283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

4485 N OAKLAND AVE, Shorewood, WI 53211

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2168137

Roots Counseling Services LLC · Shorewood, WI

Active · expires Jun 20, 2027

CLIA Number52D2168137

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorJames I. Alder

Laboratory Phone(414) 273-8484

Laboratory LocationRoots Counseling Services LLC4485 N Oakland Ave, Shorewood, WI 53211

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISIAH LEE ROSENBLATT SAC-IT

Counselor (Addiction (Substance Use Disorder))

4485 N OAKLAND AVE
MILWAUKEE, WI 53211

Milwaukee County (414) 273-8484

MADELINE DEVINE

Counselor (Addiction (Substance Use Disorder))

4485 N OAKLAND AVE
SHOREWOOD, WI 53211

Milwaukee County (414) 273-8484

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 Counseling Services, LLC's NPI number?

The NPI number for Roots Counseling Services, LLC is 1669889283. It was assigned to this organization in the NPPES registry on July 15, 2014.

Where is Roots Counseling Services, LLC located?

Roots Counseling Services, LLC is located at 4485 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 273-8484.

What is Roots Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Roots Counseling Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2168137) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roots Counseling Services, LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.