Organization Active NPI

Upperroom Restoration Counseling PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1861116618
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
UPPERROOM RESTORATION COUNSELING PLLC
Practice address
6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445
Phone
(210) 838-4757
Fax
(210) 783-1777
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Michon Rica CharlesNPI 1326422890
Title
LPC/Owner
Phone
(210) 838-4757

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445

Mailing address

7210 Shadow RDG
San Antonio, TX 78250-3340
Phone (210) 838-4757

National Provider Directory

National Provider Directory

Locations

11220 W Loop 1604 N
Ste 108
San Antonio, TX 78254

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": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1861116618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 SHADOW RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503340",
            "telephone_number": "210-838-4757",
            "fax_number": "210-783-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-838-4757",
            "fax_number": "210-783-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPERROOM RESTORATION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "MICHON",
        "authorized_official_middle_name": "RICA",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "210-838-4757"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.