ROOTS TO ROSES PSYCHOTHERAPY LLC
NPI 1790580264
Social Worker - Clinical in Chester, NJ
About Roots To Roses Psychotherapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTS TO ROSES PSYCHOTHERAPY LLC (NPI 1790580264) is a healthcare organization registered as a clinical in Chester, New Jersey and active in the NPI registry since February 2025. The organization lists Anastasia Katherine Kudless, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roots To Roses Psychotherapy Llc 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 Roots To Roses Psychotherapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Roots To Roses Psychotherapy LLC's NPI number?
The NPI number for Roots To Roses Psychotherapy LLC is 1790580264. It was assigned to this organization in the NPPES registry on February 18, 2025.
Where is Roots To Roses Psychotherapy LLC located?
Roots To Roses Psychotherapy LLC is located at 45 Perry St, Chester, NJ 07930. The listed phone number is (908) 529-0355.
What is Roots To Roses Psychotherapy LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Roots To Roses Psychotherapy LLC enrolled in Medicare?
Yes. Roots To Roses Psychotherapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roots To Roses Psychotherapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Roots To Roses Psychotherapy LLC. 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 Roots To Roses Psychotherapy LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Roots To Roses Psychotherapy Llc · NPI 1790580264
Clinical organization in Chester, New Jersey. Organization record, active in the CMS NPPES registry since February 18, 2025.
## Identity
- **NPI:** 1790580264 (Entity type: Organization)
- **Enumerated:** February 18, 2025
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Anastasia Kudless, OWNER
## Practice location
- **Address:** 45 PERRY ST, Chester, NJ 07930-3604
- **Phone:** (908) 529-0355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790580264) · Data from the CMS NPPES public registry.