Organization Active NPI

Restoration Ministries Inc.

Doing business as Children's Advocacy Center of Benton County

  • Mental Health Counselor
  • Rogers, AR
National Provider Identifier
1235218884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A0306058 Issued in AR
Legal business name
RESTORATION MINISTRIES INC.
Doing business as
Children's Advocacy Center of Benton County
Practice address
2113 Little Flock Dr
Rogers, AR 72756-7042
Phone
(479) 621-0385
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Engle
Title
Executive Director
Phone
(479) 631-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A0306058 AR Primary

Addresses

Primary practice location

2113 Little Flock Dr
Rogers, AR 72756-7042

Mailing address

2113 Little Flock Dr
Rogers, AR 72756-7042
Phone (479) 621-0385

Other names 1

  • Children's Advocacy Center of Benton County Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235218884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 LITTLE FLOCK DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567042",
            "telephone_number": "479-621-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 LITTLE FLOCK DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567042",
            "telephone_number": "479-621-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-631-7345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A0306058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Advocacy Center of Benton County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.