Restoration Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001781A Issued in IN

Legal business name

RESTORATION COUNSELING

Practice address

415 W Broadway St Ste E
Fortville, IN 46040-1462

Phone

(317) 710-7772

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly L Shores, MANPI 1457819138

Title

Owner/Therapist

Phone

(317) 710-7772

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Shores, MA, LMFT, LAC

  • Marriage & Family Therapist
  • Fortville, IN
  • NPI 1457819138
  Authorized official Same address or phone

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1487035267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W BROADWAY ST STE E",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401462",
            "telephone_number": "317-710-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W BROADWAY ST STE E",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401462",
            "telephone_number": "317-710-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "317-710-7772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86000251A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001781A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt. Vernon Community School Corporation
• Taha Mujahid
• Hari Shanthan Nagi Reddy, PT
• Saranya Nagireddy, PT
• Alicia Neidlinger, DDS
• John M. Ritter, DDS
• William Shane Robbins, EDD, ATC, LAT
• Kelly Shores, MA, LMFT, LAC
• Francia Aimee Siler
• Reesa Smith, LMFT

• Marriage & Family Therapist in Fortville, IN
• Providers in Fortville, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.