Restore Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1450715 Issued in OH

Legal business name

RESTORE COUNSELING, LLC

Practice address

500 W Wilson Bridge Rd
Suite 75
Worthington, OH 43085-2238

Phone

(614) 354-6962

NPI assigned

Apr 7, 2016

Last updated

Apr 7, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Marie Mocniak, LISW, LCDC IIINPI 1598181240

Title

Owner, Counselor

Phone

(614) 354-6962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Marie Mocniak, LISW, CDCA

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1598181240
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1023472990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 WENWOOD DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262467",
            "telephone_number": "614-354-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD",
            "address_2": "SUITE 75",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-354-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MOCNIAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "614-354-6962",
        "authorized_official_credential": "LISW, LCDC III"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1450715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewed Harmony Counseling, LLC
• Carlee Renner
• Elaine Rentel, MSW, LISW
• Victoria Rentel, MD
• Resonance Columbus LLC
• Christina Monque Revels
• Katie Rhoades
• Carmen Rhodes, RESIDENTIAL MANAGER
• Kelly Rhodes, PT, DPT
• Christiana Rice

• Clinical Social Worker in Worthington, OH
• Providers in Worthington, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.