Restorative Mind Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORATIVE MIND THERAPY, LLC

Practice address

1802 Wooddale Dr Ste 102
Woodbury, MN 55125-2919

Phone

(651) 399-0979

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Shari Marik-Roach, LICSWNPI 1043911431

Title

Psychotherapy

Phone

(651) 399-0979

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shari Marik-Roach, LICSW

  • Clinical Social Worker
  • Woodbury, MN
  • NPI 1043911431
  NPD (past) Authorized official

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1083520662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 GLENROSS RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254006",
            "telephone_number": "651-399-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 WOODDALE DR STE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252919",
            "telephone_number": "651-399-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "MARIK-ROACH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PSYCHOTHERAPY",
        "authorized_official_telephone_number": "651-399-0979",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.