ROOTS AND WINGS THERAPY LLC
NPI 1588451587
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

NPI Status: Active since April 22, 2025

Contact Information

5441 S MACADAM AVE STE N
PORTLAND, OR
ZIP 97239
Phone: (541) 728-3171
Fax: (458) 256-3181

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About ROOTS AND WINGS THERAPY LLC

This page provides the complete NPI Profile along with additional information for Roots And Wings Therapy Llc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1588451587 assigned on April 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Jennifer Osullivan Lcsw (Owner)

NPI
1588451587
Provider Name
ROOTS AND WINGS THERAPY LLC
Entity Type
Organization
Location Address
5441 S MACADAM AVE STE N PORTLAND, OR 97239
Location Phone
(541) 728-3171
Location Fax
(458) 256-3181
Mailing Address
5441 S MACADAM AVE STE N PORTLAND, OR 97239
Mailing Phone
(541) 728-3171
Mailing Fax
(458) 256-3181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2025
Last Update Date
04-22-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER OSULLIVAN LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(541) 728-3171

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588451587
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168852516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 8 + 5 + 2 + 5 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1588451587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184288797 KATELIN WESTFALL LCSW
Individual
Social Worker (Clinical)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 427-8135
1194020750 ALISON JONES LCSW, CADC I
Individual
Social Worker (Clinical)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 928-4267
1225735905SIDEWALK BLOOMING, LLC
Organization
Social Worker (Clinical)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 427-8135
1518437763 JENNIFER ANN GRAY LPC
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 482-8880
1144038373 JENNIFER JEAN VINCENT-SHILLINGFORD
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 433-3611
1649916164 JONATHAN KOLE MA, MS
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(541) 936-9482
1063075638 ANDREA LYNN LARSEN MA, LPC
Individual
Counselor (Professional)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 583-4048
1740680909 EDOUARD NIEDENTHAL DURET
Individual
Social Worker (Clinical)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(971) 433-2978
1063222552MOVE TO RECOVER PHYSICAL THERAPY LLC
Organization
Clinic/Center (Physical Therapy)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(971) 367-3983
1225849110WELL ROOTED COUNSELING AND CONSULTING, LLC
Organization
Clinic/Center (Adult Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(541) 708-9878
1497568687 ASPEN BIALER
Individual
Psychologist5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(971) 203-2845
1003427915 APRIL CHAREE JACKSON LCSW
Individual
Social Worker (Clinical)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 389-6928
1023849882BLACK SWAN HEALING LLC
Organization
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(971) 268-7462
1952850257 NICHOLAS MCGEE
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 238-0769
1124766324 THERESA SOMRAK
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 308-8684
1194524215RYAN BLUM, MD LLC
Organization
Psychiatry & Neurology (Psychiatry)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 446-3630
1962234773 SAMANTHA ADAMS MS
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(503) 447-6256
1023517760 JEREMY RUSSELL JOHNSON QMHP, CRC
Individual
Counselor (Mental Health)5441 S MACADAM AVE STE N
PORTLAND, OR 97239
(909) 360-9341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588451587, enumerated in the NPI registry as an "organization" on April 22, 2025

The provider is located at 5441 S Macadam Ave Ste N Portland, Or 97239 and the phone number is (541) 728-3171

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on April 22, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.