Restorative Trauma Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESTORATIVE TRAUMA THERAPY, PLLC

Practice address

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

Phone

(734) 436-3233

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Kristin Mocere Thompson, MA, LPC, NCC

Title

Psychotherapist

Phone

(734) 436-3233

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Mocere Radtke, MA, LPC, NCC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1306320536

  Mental Health

  NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1881432664",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE TRAUMA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MOCERE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-436-3233",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Resnick, MD, PHD
• Noah Resnicow
• Adam Michael Ressler, MD
• Kirra Elise Sheremet Ressler, PA-C
• Dianna Michelle Resto Santos
• Restoria Mental Health Solutions., PLLC
• Madison Revard
• Morgan Revard
• Rhonda Jo Revels, NP
• Jean Evelyn Revoir, P.T.

• Mental Health Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.