RESTORING WELLNESS CLINICAL SERVICES, PLLC
NPI 1457990343
Psychologist in Burr Ridge, IL

Active since December 25, 2019
200 S FRONTAGE RD STE 320, BURR RIDGE, IL 60527(630) 337-8006(630) 581-5984 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2020, Dec 25, 2019 (2 updates tracked since 2019).

About Restoring Wellness Clinical Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORING WELLNESS CLINICAL SERVICES, PLLC (NPI 1457990343) is a healthcare organization registered as a psychologist in Burr Ridge, Illinois and active in the NPI registry since December 2019. The organization lists Andrea Michelle Graves, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1457990343
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameRESTORING WELLNESS CLINICAL SERVICES, PLLC
Location Address200 S FRONTAGE RD STE 320Burr Ridge, IL 60527-6953
Mailing Address200 S Frontage Rd Ste 320Burr Ridge, IL 60527-6953 · (630) 337-8006 · Fax (630) 581-5984
Fax(630) 581-5984
Organization SubpartNo
Authorized OfficialAndrea Michelle GravesLicensed Clinical Psychologist · (630) 337-8006
Enumeration DateDecember 25, 2019
Last NPPES UpdateMay 18, 20202 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1457990343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
200 S FRONTAGE RD STE 320, Burr Ridge, IL 60527

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restoring Wellness Clinical Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Restoring Wellness Clinical Services, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Registered Dietitian or Nutrition Professional
NPI 1962077727
200 S FRONTAGE RD STE 320
Burr Ridge, IL 60527
(630) 423-5998
Same address
Clinical Psychologist
NPI 1689535601
200 S FRONTAGE RD STE 320&304
Burr Ridge, IL 60527
(630) 423-5998
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1902652225
200 S FRONTAGE RD STE 320
Burr Ridge, IL 60527
(630) 423-5998
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1528543824
200 S FRONTAGE RD UNIT 320
Burr Ridge, IL 60527
(630) 423-5998
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1811450208
200 S FRONTAGE RD STE 320
Burr Ridge, IL 60527
(630) 423-5998
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1689813792
200 S FRONTAGE RD STE 320
Burr Ridge, IL 60527
(630) 423-5998
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1306387253
5409 S BRAINARD AVE
La Grange, IL 60525
(312) 399-5982
✔ PECOS✔ Accepts Medicare3.4 mi
Mental Health Counselor
NPI 1780018358
250 S. IL ROUTE 59
Bartlett, IL 60103
(630) 483-5799
✔ PECOS✔ Accepts Medicare22 mi
Clinical Psychologist
NPI 1609150960
1 QUALITY DR DEPARTMENT OF PSYCHIATRY
Vacaville, CA 95688
(707) 624-2830
✔ PECOS✔ Accepts Medicare1,807 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restoring Wellness Clinical Services, PLLC's NPI number?

The NPI number for Restoring Wellness Clinical Services, PLLC is 1457990343. It was assigned to this organization in the NPPES registry on December 25, 2019.

Where is Restoring Wellness Clinical Services, PLLC located?

Restoring Wellness Clinical Services, PLLC is located at 200 S Frontage Rd Ste 320, Burr Ridge, IL 60527. The listed phone number is (630) 337-8006.

What is Restoring Wellness Clinical Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Restoring Wellness Clinical Services, PLLC enrolled in Medicare?

Yes. Restoring Wellness Clinical Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restoring Wellness Clinical Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Restoring Wellness Clinical Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3), Clinical Social Worker (3) and Mental Health Counselor (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restoring Wellness Clinical Services, PLLC was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.