Wild Roots Somatic Therapy
NPI 1922853779 · Clinical Social Worker · Salida, CO
Wild Roots Somatic Therapy is a Clinical Social Worker organization in Salida, CO (NPI 1922853779).
Provider details
- NPI number
- 1922853779
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mamie Tisue, Owner, Clinician(720) 443-4933
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
2 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
- 2024-04-23
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is Wild Roots Somatic Therapy's NPI number?
- Wild Roots Somatic Therapy's National Provider Identifier (NPI) is 1922853779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Roots Somatic Therapy?
- Wild Roots Somatic Therapy is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wild Roots Somatic Therapy located?
- Wild Roots Somatic Therapy's practice location on file with NPPES is 134 F St Ste 201, Salida, CO 81201-2160.
- What is Wild Roots Somatic Therapy's phone number?
- The practice phone number listed in the NPPES registry for Wild Roots Somatic Therapy is (720) 443-4933.
- Who is the authorized official for Wild Roots Somatic Therapy?
- The authorized official listed on Wild Roots Somatic Therapy's NPPES record is Mamie Tisue, Owner, Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Roots Somatic Therapy's NPI active?
- Yes — Wild Roots Somatic Therapy's NPI (1922853779) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.