SOUTHERN ROOTS THERAPEUTIC SERVICES LLC
NPI 1851155014
Counselor - Professional in Williamsburg, KY
About Southern Roots Therapeutic Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ROOTS THERAPEUTIC SERVICES LLC (NPI 1851155014) is a healthcare organization registered as a professional in Williamsburg, Kentucky and active in the NPI registry since February 2024. The organization lists Melissa Hansford, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Southern Roots Therapeutic Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Roots Therapeutic Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Southern Roots Therapeutic Services LLC's NPI number?
The NPI number for Southern Roots Therapeutic Services LLC is 1851155014. It was assigned to this organization in the NPPES registry on February 8, 2024.
Where is Southern Roots Therapeutic Services LLC located?
Southern Roots Therapeutic Services LLC is located at 74 Falin Ln, Williamsburg, KY 40769. The listed phone number is (606) 304-7994.
What is Southern Roots Therapeutic Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Southern Roots Therapeutic Services LLC enrolled in Medicare?
Yes. Southern Roots Therapeutic Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Roots Therapeutic Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Roots Therapeutic Services LLC, in Mental Health Counselor and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Roots Therapeutic Services LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Southern Roots Therapeutic Services 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 Southern Roots Therapeutic Services LLC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Southern Roots Therapeutic Services Llc · NPI 1851155014
Professional organization in Williamsburg, Kentucky. Organization record, active in the CMS NPPES registry since February 8, 2024.
## Identity
- **NPI:** 1851155014 (Entity type: Organization)
- **Enumerated:** February 8, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Melissa Hansford, OWNER
## Practice location
- **Address:** 74 FALIN LN, Williamsburg, KY 40769-1791
- **Phone:** (606) 304-7994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1851155014) · Data from the CMS NPPES public registry.