NPIMap

Organization Active NPI

Restorative Therapy & Counseling Services

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1962005629
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESTORATIVE THERAPY & COUNSELING SERVICES
Practice address
246 E Kilgore Rd
Portage, MI 49002-0507
Phone
(269) 249-7179
NPI assigned
Nov 17, 2020
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
Erin VlietstraNPI 1699187138
Title
Co-Owner
Phone
(269) 249-7179

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

246 E Kilgore Rd
Portage, MI 49002-0507

Mailing address

PO Box 19765
Kalamazoo, MI 49019-0765

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TherapyApp Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122002875 MI Part B Supplier - Clinic/Group Practice 5193114635 Receives reassigned benefits from 16 practitioners
Practice locations: Portage, MI

National Provider Directory

National Provider Directory

Locations

246 E Kilgore Rd
Portage, MI 49002
Phone (269) 249-7179

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1962005629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19765",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490190765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E KILGORE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020507",
            "telephone_number": "269-249-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE THERAPY & COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "VLIETSTRA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "269-249-7179"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyApp",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 E Milham Ave",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490021490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, MI

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.