Restorative Family Balance LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESTORATIVE FAMILY BALANCE LLC

Practice address

6118 SE Belmont St Ste 502
Portland, OR 97215-1983

Phone

(503) 567-6140

NPI assigned

Apr 5, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel KendallNPI 1386104586

Title

Ceo

Phone

(530) 378-4027

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, and the practitioner matching its NPPES authorized official.

• Rachel J Kendall, LPC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1386104586
  NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1023860582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 S MACADAM AVE STE 97",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393912",
            "telephone_number": "503-567-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SE BELMONT ST STE 502",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151983",
            "telephone_number": "503-567-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE FAMILY BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-378-4027"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.