Organization Active NPI

Restore Therapy Collective

Doing business as Jen Hutchings, Ph.D, LMFT

  • Mental Health Counselor
  • East Grand Rapids, MI
National Provider Identifier
1962080069
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORE THERAPY COLLECTIVE
Doing business as
Jen Hutchings, Ph.D, LMFT
Practice address
2151 Tenway Dr SE
East Grand Rapids, MI 49506-4525
Phone
(248) 761-4673
Fax
(616) 327-6333
NPI assigned
Mar 30, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Dr. Jen Credit Hutchings, PH.D
Title
Owner, LMFT
Phone
(248) 761-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2151 Tenway Dr SE
East Grand Rapids, MI 49506-4525

Mailing address

2151 Tenway Dr SE
East Grand Rapids, MI 49506-4525
Phone (248) 761-4673

Other names 1

  • Jen Hutchings, Ph.D, LMFT Doing business as

National Provider Directory

National Provider Directory

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1962080069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 TENWAY DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064525",
            "telephone_number": "248-761-4673",
            "fax_number": "616-327-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 TENWAY DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064525",
            "telephone_number": "248-761-4673",
            "fax_number": "616-327-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE THERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "HUTCHINGS",
        "authorized_official_first_name": "JEN",
        "authorized_official_middle_name": "CREDIT",
        "authorized_official_title_or_position": "OWNER, LMFT",
        "authorized_official_telephone_number": "248-761-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jen Hutchings, Ph.D, LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.