Active NPI
Restart Inc
- Counselor
- Greenville, NC
National Provider Identifier
1124350566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- RESTART INC
- Practice address
- 2602 Courtier Dr
Greenville, NC 27834-7818 - Phone
- (252) 355-4725
- NPI assigned
- Feb 10, 2010
- Last updated
- Feb 10, 2010
- 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
- Dennis Mitchell
- Title
- Ceo
- Phone
- (252) 355-4725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2602 Courtier Dr
Greenville, NC 27834-7818
Mailing address
2602 Courtier Dr
Greenville, NC 27834-7818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006258 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1124350566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 COURTIER DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 COURTIER DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347818",
"telephone_number": "252-355-4725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTART INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-355-4725"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006258",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.