Wild Roots Somatic Therapy

Wild Roots Somatic Therapy is a healthcare organization registered as Clinical Social Worker in Salida, CO, holding Type 2 (organization) NPI 1922853779 since 2024. The authorized official on file is Mamie Tisue, Owner, Clinician.

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NPI	1922853779
Entity type	Organization (Type 2)
Legal business name	Wild Roots Somatic Therapy
Practice address	134 F ST STE 201, Salida, CO, 81201
Phone	7204434933
Enumeration date	2024-04-23
Last updated in NPPES	2024-12-11

Authorized official

Name	Mamie Tisue
Title	Owner, Clinician
Phone	7204434933

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1041C0700X	Clinical Social Worker	Primary	—	—

Copy-ready billing details

Provider: Wild Roots Somatic Therapy
NPI: 1922853779
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 134 F ST STE 201, Salida, CO, 81201

Providers at this address

NPI	Name	Type	Specialty	Location
1982718581	Renee Duricy	Individual	Clinical Social Worker	Salida, CO
1043734155	Lauren Cone	Individual	Psychiatric/Mental Health Nurse Practitioner	Salida, CO
1700351905	Mamie Tisue	Individual	Clinical Social Worker	Salida, CO

Verify this record

Cross-check NPI 1922853779 against the authoritative CMS record: view Wild Roots Somatic Therapy on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-11. Verify at npiregistry.cms.hhs.gov.

Where is Wild Roots Somatic Therapy located?

The practice location on file with NPPES is in Salida, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-11.