Organization Active NPI

Restore Recovery

  • Peer Specialist
  • Montrose, MN
National Provider Identifier
1174223473
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
RESTORE RECOVERY
Practice address
139 Hill St
Montrose, MN 55363-8597
Phone
(651) 724-2860
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Margaret Gauthier, PRSS
Title
Vice Preside T
Phone
(651) 724-2860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

139 Hill St
Montrose, MN 55363-8597

Mailing address

139 Hill St
Montrose, MN 55363-8597

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1174223473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HILL ST",
            "city": "MONTROSE",
            "state": "MN",
            "postal_code": "553638597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HILL ST",
            "city": "MONTROSE",
            "state": "MN",
            "postal_code": "553638597",
            "telephone_number": "651-724-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "VICE PRESIDE T",
        "authorized_official_telephone_number": "651-724-2860",
        "authorized_official_credential": "PRSS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.