Organization Active NPI

Restoration Counseling Center - Access

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1073480729
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATION COUNSELING CENTER - ACCESS
Practice address
4801 E Independence Blvd Ste 204
Charlotte, NC 28212-5408
Phone
(704) 502-9397
NPI assigned
Oct 18, 2025
Last updated
Oct 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Authorized official

Name
Dr. Byron Coley, PHDNPI 1003290875
Title
Director
Phone
(704) 502-9397

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4801 E Independence Blvd Ste 204
Charlotte, NC 28212-5408

Mailing address

16455 Harbor View Rd
Charlotte, NC 28278-9005

National Provider Directory

National Provider Directory

Locations

4801 E Independence Blvd
Ste 204
Charlotte, NC 28212
Phone (704) 502-9397

Practitioners & affiliated clinicians

Practitioners 2

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": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1073480729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 HARBOR VIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282789005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125408",
            "telephone_number": "704-502-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING CENTER - ACCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-502-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.