Restore Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESTORE COUNSELING SERVICES

Practice address

12762 SW 184TH Ter
Miami, FL 33177-2503

Phone

(305) 385-0066

Fax

(305) 468-6182

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Lynnettte Fuller- Kennerly, LMHC

Title

Owner

Phone

(305) 385-0066

Specialties & licenses 1

Addresses

Other names 1

• Lynnette Fuller-Kennerly Other name

Electronic endpoints 1

Practitioners 1

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

• Lynnette Yvette Fuller, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1154520120
  NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1255094074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12762 SW 184TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772503",
            "telephone_number": "305-389-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12762 SW 184TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772503",
            "telephone_number": "305-385-0066",
            "fax_number": "305-468-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "FULLER- KENNERLY",
        "authorized_official_first_name": "LYNNETTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-385-0066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LF4Counsel@bellsouth.net",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12762 SW 184th Ter",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331772503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lynnette Fuller-Kennerly",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.