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GOLDEN ROOTS THERAPY, LLC
NPI 1942045372
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mahtomedi, MN

Active since June 27, 2024
1614 MAHTOMEDI AVE, MAHTOMEDI, MN 55115(612) 662-3989 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Golden Roots Therapy, Llc NPPES

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

GOLDEN ROOTS THERAPY, LLC (NPI 1942045372), doing business as Golden Roots Therapy, is a healthcare organization registered as a mental health (including community mental health center) in Mahtomedi, Minnesota and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Hugo and lists Jenna Hertaus, Owner, as its authorized official.

NPPES Registry Identity

NPI1942045372
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGOLDEN ROOTS THERAPY, LLC
Location Address1614 MAHTOMEDI AVEMahtomedi, MN 55115-1909
Mailing Address4707 Highway 61 N Ste 61Saint Paul, MN 55110-3227 · (612) 662-3989
Phone(612) 662-3989
Organization SubpartNo
Authorized OfficialJenna HertausOwner · (612) 662-3989
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1942045372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1614 MAHTOMEDI AVE, Mahtomedi, MN 55115
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Other Names 1

Doing Business AsGolden Roots Therapy

Secondary Practice Location 1

Location 112574 Foxhill Ave NHugo, MN 55038-7544 · Phone (612) 662-3989

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES

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

KAITLYN MATTESON MA, LADC
Counselor
1614 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (612) 662-3989

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 Golden Roots Therapy, LLC's NPI number?

The NPI number for Golden Roots Therapy, LLC is 1942045372. It was assigned to this organization in the NPPES registry on June 27, 2024. The provider is doing business as Golden Roots Therapy.

Where is Golden Roots Therapy, LLC located?

Golden Roots Therapy, LLC is located at 1614 Mahtomedi Ave, Mahtomedi, MN 55115. The listed phone number is (612) 662-3989.

What is Golden Roots Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Golden Roots Therapy, LLC accept?

Health plans from HealthPartners list Golden Roots Therapy, 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 Golden Roots Therapy, LLC was last updated on June 27, 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.