1. Home
  2. Directory
  3. Ohio
  4. Defiance
  5. Counselor
  6. NPI Profile

DEEP ROOTS WELLNESS, LLC
NPI 1942799515
Counselor - Mental Health in Defiance, OH

Active since May 08, 2018
8081 ADAMS RIDGE RD, DEFIANCE, OH 43512(419) 239-2113(419) 239-2113 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, May 8, 2018 (2 updates tracked since 2018).

About Deep Roots Wellness, Llc NPPES

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

DEEP ROOTS WELLNESS, LLC (NPI 1942799515) is a healthcare organization registered as a mental health in Defiance, Ohio and active in the NPI registry since May 2018. The organization lists Matthew Hollo, Owner, as its authorized official.

NPPES Registry Identity

NPI1942799515
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDEEP ROOTS WELLNESS, LLC
Location Address8081 ADAMS RIDGE RDDefiance, OH 43512-9173
Mailing Address105 Westfield AveDefiance, OH 43512-1433 · (419) 239-2113
Phone(419) 239-2113
Fax(419) 239-2113
Organization SubpartNo
Authorized OfficialMatthew HolloOwner · (419) 239-2113
Enumeration DateMay 8, 2018
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1942799515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E0600346
8081 ADAMS RIDGE RD, Defiance, OH 43512
Open in Google Maps ↗

Other Identifiers 2

Medicaid0157085OH
Medicaid0282598OH

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

DEFIANCE THERAPEUTIC MASSAGE & WELLNESS CENTER, LLC
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
TANYA CHAPPUIES LMT
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
AMBER MORRIS
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
ALISSA MARIE KNAPP LMT, NMT
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
WHITNEY SNYDER LMT
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
TAYLOR FISHER LMT
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
PAM SCHAUFELE LMT, NMT
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112
KARAN GOTTWALD LMT
Specialist
8081 ADAMS RIDGE RD
DEFIANCE, OH 43512
Defiance County (419) 497-2112

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 Deep Roots Wellness, LLC's NPI number?

The NPI number for Deep Roots Wellness, LLC is 1942799515. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Deep Roots Wellness, LLC located?

Deep Roots Wellness, LLC is located at 8081 Adams Ridge Rd, Defiance, OH 43512. The listed phone number is (419) 239-2113.

What is Deep Roots Wellness, LLC's specialty?

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

What insurance does Deep Roots Wellness, LLC accept?

Health plans from CareSource list Deep Roots Wellness, 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 Deep Roots Wellness, LLC was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.