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ROOTED FREEDOM
NPI 1750177259
Counselor - Mental Health in Fort Wayne, IN

Active since April 19, 2025
1612 CURDES AVE, FORT WAYNE, IN 46805(260) 255-6355 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rooted Freedom NPPES

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

ROOTED FREEDOM (NPI 1750177259) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since April 2025. The organization lists Angela Glick, Licensed Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1750177259
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameROOTED FREEDOM
Location Address1612 CURDES AVEFort Wayne, IN 46805-2619
Mailing Address1612 Curdes AveFort Wayne, IN 46805-2619 · (260) 255-6355
Phone(260) 255-6355
Organization SubpartNo
Authorized OfficialAngela GlickLicensed Mental Health Counselor · (260) 255-6355
Enumeration DateApril 19, 2025
NPPES CertifiedApril 19, 2025
✔ NPI 1750177259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1612 CURDES AVE, Fort Wayne, IN 46805
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Freedom's NPI number?

The NPI number for Rooted Freedom is 1750177259. It was assigned to this organization in the NPPES registry on April 19, 2025.

Where is Rooted Freedom located?

Rooted Freedom is located at 1612 Curdes Ave, Fort Wayne, IN 46805. The listed phone number is (260) 255-6355.

What is Rooted Freedom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rooted Freedom was last updated on April 19, 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.