NPIMap

Organization Active NPI

Restoration Counseling, LLC

  • Clinic/Center
  • Catonsville, MD
National Provider Identifier
1134501836
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15128 Issued in MD
Legal business name
RESTORATION COUNSELING, LLC
Practice address
2 W Rolling
Suite 210
Catonsville, MD 21228-6208
Phone
(410) 744-7014
Fax
(410) 744-6903
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Krystal Lashon Smith, LCSW-C
Title
Licensed Clinical Social Worker
Phone
(919) 332-4043

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15128 MD Primary
Adult Mental Health Clinic/Center 261QM0850X 15128 MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X 15128 MD

Addresses

Primary practice location

2 W Rolling
Suite 210
Catonsville, MD 21228-6208

Mailing address

4709 Creekside Cir
Apartment 302
Owings Mills, MD 21117-7125
Phone (919) 332-4043

National Provider Directory

National Provider Directory

Locations

2 W Rolling Xrds
Ste 210
Catonsville, MD 21228
Phone (410) 744-7014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1134501836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 CREEKSIDE CIR",
            "address_2": "APARTMENT 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177125",
            "telephone_number": "919-332-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W ROLLING",
            "address_2": "SUITE 210",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286208",
            "telephone_number": "410-744-7014",
            "fax_number": "410-744-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "LASHON",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-332-4043",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "15128",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "15128",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "15128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.