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

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: July 26, 2026.

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

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
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

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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1186 121ST ST
ROBERTS, WI 54023

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.

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 with the weekly NPPES data releases published by CMS.