Deep Roots Healing, PLLC
NPI 1639971203 · Clinical Social Worker · Grand Forks, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deep Roots Healing, PLLC is a Clinical Social Worker organization in Grand Forks, ND (NPI 1639971203).
Provider details
- NPI number
- 1639971203
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gaudencia Palomo-Burns, Clinical Social Worker(701) 787-1332
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
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
1 yr 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
Other names (DBA / former)
- Doing business as
- Deep Roots Healing, PLLC
- Doing business as
- Deep Roots Healing, PLLC
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Deep Roots Healing, PLLC's NPI number?
- Deep Roots Healing, PLLC's National Provider Identifier (NPI) is 1639971203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deep Roots Healing, PLLC?
- Deep Roots Healing, PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Deep Roots Healing, PLLC located?
- Deep Roots Healing, PLLC's practice location on file with NPPES is 311 S 4th St Ste 116, Grand Forks, ND 58201-4792.
- What is Deep Roots Healing, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Deep Roots Healing, PLLC is (701) 620-9876.
- Does Deep Roots Healing, PLLC accept Medicare?
- Deep Roots Healing, PLLC 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 Deep Roots Healing, PLLC?
- The authorized official listed on Deep Roots Healing, PLLC's NPPES record is Gaudencia Palomo-Burns, Clinical Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deep Roots Healing, PLLC's NPI active?
- Yes — Deep Roots Healing, PLLC's NPI (1639971203) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.