REFLECTIVE ROOTS PSYCHOTHERAPY & HEALING, LLC
NPI 1972352177
Social Worker - Clinical in Roberts, WI

Q: What is Reflective Roots Psychotherapy & Healing, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 18, 2024

1186 121ST ST, ROBERTS, WI 54023(715) 201-4563 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2026, Jul 27, 2024, May 18, 2024 (3 updates tracked since 2024).

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About Reflective Roots Psychotherapy & Healing, Llc NPPES

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

REFLECTIVE ROOTS PSYCHOTHERAPY & HEALING, LLC (NPI 1972352177) is a healthcare organization registered as a clinical in Roberts, Wisconsin and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Baldwin and lists Stephanie J Larson, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1972352177

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameREFLECTIVE ROOTS PSYCHOTHERAPY & HEALING, LLC

Location Address1186 121ST STRoberts, WI 54023-8538

Mailing Address808 Carmichael RdHudson, WI 54016-7759 · (715) 201-4563

Phone(715) 201-4563

Organization SubpartNo

Authorized OfficialStephanie J LarsonPsychotherapist · (715) 201-4563

Enumeration DateMay 18, 2024

Last NPPES UpdateApril 16, 20263 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1972352177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1186 121ST ST, Roberts, WI 54023

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Secondary Practice Location 1

Location 1990 Hillcrest St Ste 108Baldwin, WI 54002-9263 · Phone (715) 201-4563

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reflective Roots Psychotherapy & Healing, 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 Reflective Roots Psychotherapy & Healing, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Larson, MSW, LICSW, LCSW

Clinical Social Worker

NPI 1740875608

1186 121ST ST
Roberts, WI 54023

(715) 495-5486

✔ PECOSSame address

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 Reflective Roots Psychotherapy & Healing, LLC's NPI number?

The NPI number for Reflective Roots Psychotherapy & Healing, LLC is 1972352177. It was assigned to this organization in the NPPES registry on May 18, 2024.

Where is Reflective Roots Psychotherapy & Healing, LLC located?

Reflective Roots Psychotherapy & Healing, LLC is located at 1186 121st St, Roberts, WI 54023. The listed phone number is (715) 201-4563.

What is Reflective Roots Psychotherapy & Healing, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Reflective Roots Psychotherapy & Healing, LLC enrolled in Medicare?

Yes. Reflective Roots Psychotherapy & Healing, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reflective Roots Psychotherapy & Healing, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Reflective Roots Psychotherapy & Healing, 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 Reflective Roots Psychotherapy & Healing, LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.