Organization Active NPI

Restored Ground Therapy and Counseling LLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1194692004
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESTORED GROUND THERAPY AND COUNSELING LLC
Practice address
300 Garden of the Gods Road
Suite 200
Colorado Springs, CO 80907
Phone
(719) 413-8250
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Ms. Kristin Bothwell, LCSWNPI 1417123191
Title
LCSW
Phone
(719) 413-8350

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

300 Garden of the Gods Road
Suite 200
Colorado Springs, CO 80907

Mailing address

3655 E Fountain Blvd Ste 106
Colorado Springs, CO 80910-9300
Phone (719) 413-8350

National Provider Directory

National Provider Directory
Tax ID family
Restored Ground Therapy and Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1194692004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E FOUNTAIN BLVD STE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809109300",
            "telephone_number": "719-413-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN OF THE GODS ROAD",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-413-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED GROUND THERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BOTHWELL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "719-413-8350",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "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 Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.