Active NPI
Restorative Peace, LLC
- Professional Counselor
- Houston, TX
National Provider Identifier
1114706264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- RESTORATIVE PEACE, LLC
- Practice address
- 11503 Martin Luther King Blvd
Houston, TX 77048-1867 - Phone
- (832) 706-2131
- NPI assigned
- Sep 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susie Reyes
- Title
- Credentialing Specialist
- Phone
- (210) 833-9382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
11503 Martin Luther King Blvd
Houston, TX 77048-1867
Mailing address
1560 W Bay Area Blvd Ste 303
Friendswood, TX 77546-2681
Phone (832) 706-2131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6300 West Loop S
Ste 235
Bellaire, TX 77401
Phone (713) 839-9186
11503 Martin Luther King Blvd
Houston, TX 77048
Phone (832) 706-2131
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Friendswood, TX
- NPI 1952062010
-
- Clinical Social Worker
- Bellaire, TX
- NPI 1477696631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1114706264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 W BAY AREA BLVD STE 303",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775462681",
"telephone_number": "832-706-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11503 MARTIN LUTHER KING BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770481867",
"telephone_number": "832-706-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE PEACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-27",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "SUSIE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "210-833-9382"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Rest Technologies, Inc.
- Restoration Global Health Care LLC
- Restoration Odyssey Inc
- Restorative Health, LLC
- Restorative Healthcare of Texas LLC
- Restore Health Care Services,Inc.
- Restore Home Health of Texas LLC
- Restore Outreach Center Texas
- Restore Psychotherapy & Wellness, PLLC
- Restore Rehab Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.