Kristin Mocere Radtke, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019038 Issued in MI

Practice address

2311 Shelby Ave Ste 106
Ann Arbor, MI 48103-3849

Phone

(734) 436-3233

Fax

(734) 201-1590

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restorative Trauma Therapy, PLLC

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1881432664
  NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1306320536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N CONGRESS ST APT 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973326",
            "telephone_number": "231-360-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE STE 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-436-3233",
            "fax_number": "734-201-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Packard St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481085017",
            "country_code": "US",
            "telephone_number": "734-436-3233",
            "fax_number": "844-350-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADTKE",
        "first_name": "KRISTIN",
        "middle_name": "MOCERE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyet-Nhi Radics
• Jay Jacob Radin, PHD
• Tara Radina
• Vedran Radojcic, MD
• James Radson
• Mohammed R Rafeeq, MD
• Sophia Theresa Rafferty, DO
• Maria Anne Raffoul, NP
• Alyssa Raft
• Morgan Ragazzone, LMSW-C

• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.