Active NPI
Restorative Counseling & Consultation, a Clinical Social Work Corporat
- Adult Mental Health Clinic/Center
- Oakland, CA
National Provider Identifier
1053944074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134164726 | Other | CA | INDIVIDUAL |
Other names 1
- RCC Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Oakland, CA
- NPI 1710238555
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
- Isabella Crystal Catherine Requiro
- Residential Medical Supply Services
- Dawn H Resney-Deems, PA
- Resonant Source Therapy, Training and Consultation
- Kevin Scott Respicio, RN
- Restorative Housing Initiative
- Restorative Justice for Oakland Youth
- Humberto Retana, MS
- Ronald Mario Rettig-Zucchi, MA, MFT
- Emily Rettner, M.S.
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.