Organization Active NPI

Restoring Connections Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Noblesville, IN
National Provider Identifier
1093596413
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESTORING CONNECTIONS THERAPY LLC
Practice address
3497 Conner St
Noblesville, IN 46060-2414
Phone
(319) 942-0772
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Shauna Berglund, LCSWNPI 1710668470
Title
Owner
Phone
(317) 509-6873

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3497 Conner St
Noblesville, IN 46060-2414

Mailing address

11710 Sea Star Way
Fishers, IN 46037-9617
Phone (317) 509-6873

National Provider Directory

National Provider Directory

Locations

3497 Conner St
Noblesville, IN 46060
Phone (317) 572-8357

Practitioners & affiliated clinicians

Practitioners 2

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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1093596413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 SEA STAR WAY",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379617",
            "telephone_number": "317-509-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 CONNER ST",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602414",
            "telephone_number": "319-942-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING CONNECTIONS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "BERGLUND",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-509-6873",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.