Organization Active NPI

Restorative Counseling & Consultation, a Clinical Social Work Corporat

  • Adult Mental Health Clinic/Center
  • Oakland, CA
National Provider Identifier
1053944074
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RESTORATIVE COUNSELING & CONSULTATION, A CLINICAL SOCIAL WORK CORPORAT
Practice address
4126 Telegraph Ave.
Oakland, CA 94609-9460
Phone
(510) 686-3116
Fax
(877) 346-7602
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mrs. Michelle Nicholas, LCSW
Title
Owner
Phone
(510) 329-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4126 Telegraph Ave.
Oakland, CA 94609-9460

Mailing address

3022 73Rd Ave
Oakland, CA 94605-2541
Phone (510) 329-8463

Other identifiers 1

IdentifierTypeStateIssuer
1134164726OtherCAINDIVIDUAL

Other names 1

  • RCC Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1053944074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 73RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052541",
            "telephone_number": "510-329-8463",
            "fax_number": "877-346-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 TELEGRAPH AVE.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946099460",
            "telephone_number": "510-686-3116",
            "fax_number": "877-346-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE COUNSELING & CONSULTATION, A CLINICAL SOCIAL WORK CORPORAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-329-8463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1134164726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCC Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.