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

Roots Renewal Counseling, Inc

Organization Mental Health Counselor · NPI 1336803451

Roots Renewal Counseling, Inc is a Mental Health Counselor in Bend, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

61396 S Hwy 97 Ste 230
Bend, OR 97702-2558
Phone: (314) 200-5594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1336803451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Stockham-Ronollo — Director · (314) 200-5594
NPI enumeratedOctober 25, 2021
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address61396 S Hwy 97 Ste 230, Bend, OR 97702-2558

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