Organization Active NPI

Restorative Mind Counseling, LLC

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1073448072
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESTORATIVE MIND COUNSELING, LLC
Practice address
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone
(313) 217-5263
NPI assigned
Jun 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Authorized official

Name
Patricia Jackson, LMSWNPI 1689508889
Title
Licensed Master Social Worker
Phone
(313) 217-5263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Mailing address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone (313) 217-5263

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": "1781308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1073448072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "313-217-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "313-217-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
        "authorized_official_telephone_number": "313-217-5263",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.