NPIMap

Organization Active NPI

Restore Counseling

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1003344276
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2016032363 Issued in MO
Legal business name
RESTORE COUNSELING
Practice address
6155 Oak St Ste B
Kansas City, MO 64113
Phone
(816) 607-1775
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Lebeka Shin, LCSW
Title
Owner
Phone
(816) 607-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2016032363 MO Primary

Addresses

Primary practice location

6155 Oak St Ste B
Kansas City, MO 64113

Mailing address

222 W Gregory Blvd Ste 120
Kansas City, MO 64114-1145
Phone (816) 607-1775

Other practice location 1

6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone (816) 607-1775

Other practice location 2

6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone (816) 607-1775

National Provider Directory

National Provider Directory

Locations

222 W Gregory Blvd
Ste 120
Kansas City, MO 64114
Phone (816) 607-1775

Practitioners & affiliated clinicians

Practitioners 11

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": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1003344276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD STE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141145",
            "telephone_number": "816-607-1775",
            "fax_number": "816-379-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64113",
            "telephone_number": "816-607-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6155 Oak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641132266",
            "country_code": "US",
            "telephone_number": "816-607-1775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6155 Oak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641132266",
            "country_code": "US",
            "telephone_number": "816-607-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "LEBEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-607-1775",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016032363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.