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WELL ROOTED INTEGRATIVE THERAPY PLLC
NPI 1750243002
Psychologist - Clinical in Eagle, ID

Active since November 25, 2025
1191 E IRON EAGLE DR STE 100, EAGLE, ID 83616(208) 314-8655 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Well Rooted Integrative Therapy Pllc NPPES

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

WELL ROOTED INTEGRATIVE THERAPY PLLC (NPI 1750243002) is a healthcare organization registered as a clinical in Eagle, Idaho and active in the NPI registry since November 2025. The organization lists Jennifer Mcwaters, Owner, as its authorized official.

NPPES Registry Identity

NPI1750243002
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWELL ROOTED INTEGRATIVE THERAPY PLLC
Location Address1191 E IRON EAGLE DR STE 100Eagle, ID 83616-5139
Mailing Address3770 E Amity Ave Unit 105Nampa, ID 83687-1194
Phone(208) 314-8655
Organization SubpartNo
Authorized OfficialJennifer McwatersOwner · (208) 314-8655
Enumeration DateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1750243002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1191 E IRON EAGLE DR STE 100, Eagle, ID 83616
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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

Other Providers at the Same Location NPPES 3

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

HANNAH WENLE GOTTENBERG LPC
Counselor (Professional)
1191 E IRON EAGLE DR STE 100
EAGLE, ID 83616
Ada County (208) 805-2324
BAYLEE LOUISE SANDERSON LMSW
Social Worker
1191 E IRON EAGLE DR STE 100
EAGLE, ID 83616
Ada County (208) 805-2324
JENNIFER MCWATERS PSY.D.
Psychologist (Clinical)
1191 E IRON EAGLE DR STE 100
EAGLE, ID 83616
Ada County (208) 314-8655

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 Well Rooted Integrative Therapy PLLC's NPI number?

The NPI number for Well Rooted Integrative Therapy PLLC is 1750243002. It was assigned to this organization in the NPPES registry on November 25, 2025.

Where is Well Rooted Integrative Therapy PLLC located?

Well Rooted Integrative Therapy PLLC is located at 1191 E Iron Eagle Dr Ste 100, Eagle, ID 83616. The listed phone number is (208) 314-8655.

What is Well Rooted Integrative Therapy PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Well Rooted Integrative Therapy PLLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.