Roots Renewal Counseling, Inc
NPI 1336803451 · Mental Health Counselor · Bend, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roots Renewal Counseling, Inc is a Mental Health Counselor organization in Bend, OR (NPI 1336803451).
Provider details
- NPI number
- 1336803451
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Stockham-Ronollo, Director(314) 200-5594
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-25
- Last updated
- 2022-01-12
- Certified
- 2022-01-12
Frequently asked questions
- What is Roots Renewal Counseling, Inc's NPI number?
- Roots Renewal Counseling, Inc's National Provider Identifier (NPI) is 1336803451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roots Renewal Counseling, Inc?
- Roots Renewal Counseling, Inc is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Roots Renewal Counseling, Inc located?
- Roots Renewal Counseling, Inc's practice location on file with NPPES is 61396 S Hwy 97 Ste 230, Bend, OR 97702-2558.
- What is Roots Renewal Counseling, Inc's phone number?
- The practice phone number listed in the NPPES registry for Roots Renewal Counseling, Inc is (314) 200-5594.
- Does Roots Renewal Counseling, Inc accept Medicare?
- Roots Renewal Counseling, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Roots Renewal Counseling, Inc?
- The authorized official listed on Roots Renewal Counseling, Inc's NPPES record is Stephanie Stockham-Ronollo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roots Renewal Counseling, Inc's NPI active?
- Yes — Roots Renewal Counseling, Inc's NPI (1336803451) is active in the NPPES registry as of the last update on 2022-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.