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ROOTS THERAPY NW LLC
NPI 1831789098
Counselor - Mental Health in Portland, OR

Active since January 21, 2021
6018 SE STARK ST, PORTLAND, OR 97215(971) 402-9488(503) 974-6689 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Aug 16, 2021, Apr 2, 2021 and 2 more (5 updates tracked since 2021).

About Roots Therapy Nw Llc NPPES

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

ROOTS THERAPY NW LLC (NPI 1831789098) is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since January 2021. The organization lists Julia Bryson, Member, as its authorized official.

NPPES Registry Identity

NPI1831789098
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameROOTS THERAPY NW LLC
Location Address6018 SE STARK STPortland, OR 97215-1990
Mailing Address6018 Se Stark StPortland, OR 97215-1990 · (971) 402-9488 · Fax (503) 974-6689
Phone(971) 402-9488
Fax(503) 974-6689
Organization SubpartNo
Authorized OfficialJulia BrysonMember · (503) 922-9026
Enumeration DateJanuary 21, 2021
Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1831789098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
6018 SE STARK ST, Portland, OR 97215
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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 Therapy Nw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Roots Therapy NW LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Katherine Kilbourn
Clinical Social Worker
NPI 1740922665
6018 SE STARK ST
Portland, OR 97215
(541) 517-9733
✔ PECOS✔ Accepts MedicareSame address
Julia Bryson, LCSW
Clinical Social Worker
NPI 1457537128
6030 SE 52ND AVE STE 204
Portland, OR 97206
(971) 599-1128
✔ PECOS✔ Accepts Medicare2.8 mi
Jennifer Hoskins
Clinical Social Worker
NPI 1255780573
018 SW BOUNDARY CT
Portland, OR 97239
(503) 222-9661
✔ PECOS4.4 mi
Nathan Bryson, MSW
Clinical Social Worker
NPI 1144423344
4842 SW SCHOLLS FERRY RD
Portland, OR 97225
(503) 841-6401
✔ PECOS✔ Accepts Medicare7.6 mi
Hailey Coleman
Clinical Social Worker
NPI 1649888462
4585 SW 185TH AVE
Aloha, OR 97078
(503) 591-9280
✔ PECOS13 mi

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 Therapy NW LLC's NPI number?

The NPI number for Roots Therapy NW LLC is 1831789098. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Roots Therapy NW LLC located?

Roots Therapy NW LLC is located at 6018 SE Stark St, Portland, OR 97215. The listed phone number is (971) 402-9488.

What is Roots Therapy NW LLC's specialty?

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

Is Roots Therapy NW LLC enrolled in Medicare?

Yes. Roots Therapy NW LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roots Therapy NW LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Roots Therapy NW 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roots Therapy NW LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Roots Therapy NW LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roots Therapy NW LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.