Active NPI
Restorative Pathways, LLC
- Marriage & Family Therapist
- Rochester, MI
National Provider Identifier
1326889569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- RESTORATIVE PATHWAYS, LLC
- Practice address
- 71 Walnut Blvd Ste 109
Rochester, MI 48307-2073 - Phone
- (248) 657-7875
- NPI assigned
- Jun 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Kim, LMFT
- Title
- Marriage and Family Therapist
- Phone
- (651) 328-9274
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
71 Walnut Blvd Ste 109
Rochester, MI 48307-2073
Mailing address
71 Walnut Blvd Ste 109
Rochester, MI 48307-2073
Phone (651) 328-9274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Rochester, MI
- NPI 1205142882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1326889569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 WALNUT BLVD STE 109",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483072073",
"telephone_number": "651-328-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 WALNUT BLVD STE 109",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483072073",
"telephone_number": "248-657-7875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE PATHWAYS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
"authorized_official_telephone_number": "651-328-9274",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.