Restoration Family Therapy, L.L.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RESTORATION FAMILY THERAPY, L.L.C.

Practice address

23554 Blue Skies Dr
Chugiak, AK 99567-5640

Phone

(907) 726-3572

NPI assigned

May 12, 2020

Last updated

May 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jocelyn Gavin Doremus, LMFTNPI 1902306905

Title

Owner

Phone

(907) 726-3572

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jocelyn Doremus, LMFT

  • Marriage & Family Therapist
  • Chugiak, AK
  • NPI 1902306905
  NPD Authorized official

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589673600000",
    "number": "1245852375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670813",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995670813",
            "telephone_number": "907-726-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23554 BLUE SKIES DR",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675640",
            "telephone_number": "907-726-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION FAMILY THERAPY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A",
        "authorized_official_last_name": "DOREMUS",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-726-3572",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Peterson, RBT
• Elizabeth Potter, COTA
• Providence Alaska Medical Center
• Kimberly Rains
• Resource Associates
• Debra L Riner, R.N.
• Rudi Claira Rupp, LMT
• Ashton Sardakowski
• Danielle Lynn Schmaltz, PT
• Sheri Scholljegerdes

• Marriage & Family Therapist in Chugiak, AK
• Providers in Chugiak, AK by specialty
• Marriage & Family Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.