NPIMap

Organization Active NPI

Restore Behavioral Health LLC

  • Mental Health Counselor
  • Norman, OK
National Provider Identifier
1083163083
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5274 Issued in OK
Legal business name
RESTORE BEHAVIORAL HEALTH LLC
Practice address
1008 24TH Ave NW
Norman, OK 73069-6369
Phone
(405) 919-1817
NPI assigned
Oct 2, 2016
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Mrs. Gina Lynn Dixon, M.ED.,LPCNPI 1356677934
Title
Licensed Professional Counselor
Phone
(405) 919-1817

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 5274 OK Primary

Addresses

Primary practice location

1008 24TH Ave NW
Norman, OK 73069-6369

Mailing address

1008 24TH Ave NW
Norman, OK 73069-6369
Phone (405) 919-1817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240702000951 OK Part B Supplier - Clinic/Group Practice 8628512647 Receives reassigned benefits from 8 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

2212 Westpark Dr
Ste 105
Norman, OK 73069

13301 N Meridian Ave
Ste 110
Oklahoma City, OK 73120

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1083163083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696369",
            "telephone_number": "405-919-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696369",
            "telephone_number": "405-919-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-02",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-919-1817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED.,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.