Organization Active NPI

Restoring Peace Counseling Center LLC

  • Counselor
  • Universal City, TX
National Provider Identifier
1245726504
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
18656 Issued in TX
Legal business name
RESTORING PEACE COUNSELING CENTER LLC
Practice address
508 Pat Booker Rd # 6023
Universal City, TX 78148-4434
Phone
(210) 870-4007
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Stephanie Johnson, PC
Title
Provider / Owner
Phone
(210) 870-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 18656 TX Primary

Addresses

Primary practice location

508 Pat Booker Rd # 6023
Universal City, TX 78148-4434

Mailing address

PO Box 12
Schertz, TX 78108-0012

Other identifiers 1

IdentifierTypeStateIssuer
1396839320OtherTYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

508 Pat Booker Rd
Universal City, TX 78148
Phone (210) 887-6735

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1245726504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781080012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PAT BOOKER RD # 6023",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781484434",
            "telephone_number": "210-870-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING PEACE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "210-870-4007",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "18656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1396839320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.