Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Golden Roots Therapy, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1942045372

Golden Roots Therapy, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Mahtomedi, Minnesota. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1614 Mahtomedi Ave
Mahtomedi, MN 55115-1909
Phone: (612) 662-3989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12574 Foxhill Ave N, Hugo, MN 55038-7544 — (612) 662-3989

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1942045372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenna Hertaus — Owner · (612) 662-3989
Other names Golden Roots Therapy
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address4707 Highway 61 N Ste 61, Saint Paul, MN 55110-3227

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