RESTORATION COUNSELING (NPI# 1487035267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487035267 |
| Entity Type | Organization |
| Organization Name | RESTORATION COUNSELING |
| Practice Address |
415 W Broadway St Ste E Fortville IN 46040-1462 |
| Practice Telephone | 3177107772 |
| Mailing Telephone | 3177107772 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | MRS. KELLY L SHORES (OWNER/THERAPIST) |
| Authorized Official Telephone | 3177107772 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
86000251A | IN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 35001781A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899744 | Restoration Counseling | Marriage & Family Therapist | 6270 Lehman Dr Ste 200d, Colorado Springs, CO 80918-1470 | 2016-01-28 |
| 1285009142 | Restoration Counseling | Counselor | 5257 Ne Mlk Jr Blvd, Suite #201, Portland, OR 97211-3282 | 2015-12-03 |
| 1790937563 | Restoration Counseling | Counselor | 3998 Mid Rivers Mall Dr, Saint Peters, MO 63376-2809 | 2008-10-10 |
| 1013371293 | Restoration Counseling | Marriage & Family Therapist | 7545 Centurion Pkwy, Suite 105, Jacksonville, FL 32256-0579 | 2016-04-13 |
| 1790194413 | Restoration Counseling | Counselor | 1136 E Stuart St, Suite 2040, Fort Collins, CO 80525-1195 | 2014-08-06 |
| 1134532872 | Restoration Counseling | Community/Behavioral Health | 4980 W State St, Boise, ID 83703-3326 | 2014-06-10 |
| 1013344084 | Restoration Counseling | Community/Behavioral Health | 1830 Destiny Ln, Bowling Green, KY 42104-1087 | 2013-10-04 |
| 1063851558 | Restoration Counseling | Counselor | 605 S College Ave, Fort Collins, CO 80524-3003 | 2013-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RESTORATION COUNSELING | 315 Nw Island Cir, Apt B-3, Beaverton, OR 97006 |
| Connecticut Business Registrations | Restoration Counseling & Consulting Services LLC | 4 Research Drive, Ste 402, Shelton, CT 06484 |
| Colorado Business Entities | Restoration Counseling Center, PLLC | 13780 E. Rice Place, 104, Aurora, CO 80015 |
| Indiana Business Entities | RESTORATION COUNSELING LLC | 415 W Broadway Suite E, Fortville, IN 46040 |
| Colorado Business Entities | Restoration Counseling on East Colfax | 1540 Boston, Aurora, CO 80011 |
| Colorado Business Entities | Restoration Counseling Services of Colorado | 9200 W. Cross Drive, Suite #650, Littleton, CO 80123 |
| Colorado Business Entities | Restoration Counseling Services, LLC | 7659 Timberline Ct, Colorado Springs, CO 80920 |
| Alabama Business Registrations | Restoration Counseling Services, LLC | 528 Peachtree Lane Suite 104, Cullman, AL 35058 |
| Washington State Corporations | RESTORATION COUNSELING, PLLC | 20352 Greenwood Ave N, Shoreline, WA 98133-3047 |
| Street Address |
415 W BROADWAY ST STE E |
| City | FORTVILLE |
| State | IN |
| Zip Code | 46040-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591979 | Life Refined Chiropractic, LLC | Chiropractor | 14214 Valley Crest Ct, Fishers, IN 46040 | 2017-07-19 |
| 1154613131 | George Steven Kalesperis | Neuromusculoskeletal Medicine & OMM | 8457 W 1000 S, Fortville, IN 46040 | 2011-05-09 |
| 1730306341 | Saranya Nagireddy | Physical Therapist | 15393 Ackerley Dr, Fortville, IN 46040 | 2007-04-18 |
| 1518094390 | Lori K King | Speech-Language Pathologist | 11010 Harbor Bay Drive, Fortville, IN 46040 | 2007-02-27 |
| 1154405645 | Brendan Leroy | Family Medicine | 545 Vitality Dr Ste 100a, Fortville, IN 46040 | 2006-10-24 |
| 1720566318 | Howard Health, LLC | Behavioral Analyst | 9276 W 1025 S, Fortville, IN 46040 | 2018-08-06 |
| 1285851899 | Hari Shanthan Nagi Reddy | Physical Therapist | 15393 Ackerley Dr, Fortville, IN 46040 | 2007-04-18 |
| 1992815054 | John Day Kingsbury | Dentist | 14 S Main St, Fortville, IN 46040 | 2006-08-30 |
| 1710024229 | Sajid Hameed | Physical Therapist | 800 Center St, Fortville, IN 46040-1007 | 2007-01-31 |
| 1356795983 | Amber Hensley | Occupational Therapist | 206 E Carolina St, Fortville, IN 46040-1096 | 2016-04-20 |
| Find all providers in zip 46040 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819138 | Kelly Shores | Marriage & Family Therapist | 415 W Broadway St, Fortville, IN 46040-1462 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1396362919 | Briana N Roberts | Marriage & Family Therapist | 2021 E 84th St Apt 2b, Merrillville, IN 46410-8305 | 2020-06-30 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1093330920 | Ann Marie Ravenna | Marriage & Family Therapist | 54 N 9th St Ste 254, Noblesville, IN 46060-2208 | 2020-06-16 |
| 1770107435 | Lauren Salazar | Marriage & Family Therapist | 54 N 9th St Ste 230, Noblesville, IN 46060-2208 | 2020-05-28 |
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1437785060 | Crystal Jessee | Marriage & Family Therapist | 7230 Arbuckle Cmns Ste 239, Brownsburg, IN 46112-1797 | 2020-03-16 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.