Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Roots of a Mindful Sage LLC

Organization Community Health Worker · NPI 1912811795

Roots of a Mindful Sage LLC provides Community Health Worker services in Johnson Creek, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
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

212 Anderson Dr
Johnson Creek, WI 53038-9706
Phone: (920) 220-1090
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1912811795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Tishler — Owner · (920) 220-1090
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026
Mailing address212 Anderson Dr, Johnson Creek, WI 53038-9706