Organization Active NPI

Restored Ground Therapy and Counseling LLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1518834753
Registry record updated Oct 22, 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
3655 E Fountain Blvd Ste 106
PO Box 16663
Colorado Springs, CO 80910-9998
Phone
(719) 413-8350
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Kristin Bothwell, LCSWNPI 1417123191
Title
Clinical Social Worker, Owner
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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

3655 E Fountain Blvd Ste 106
PO Box 16663
Colorado Springs, CO 80910-9998

Mailing address

3655 E Fountain Blvd Ste 106
PO Box 16663
Colorado Springs, CO 80910-9998
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.

Locations

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1518834753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E FOUNTAIN BLVD STE 106",
            "address_2": "PO BOX 16663",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809109998",
            "telephone_number": "719-413-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E FOUNTAIN BLVD STE 106",
            "address_2": "PO BOX 16663",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809109998",
            "telephone_number": "719-413-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED GROUND THERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "BOTHWELL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER, OWNER",
        "authorized_official_telephone_number": "719-413-8350",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "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 22, 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.