Restore Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RESTORE COUNSELING

Practice address

415 Medical Dr Ste B101
Bountiful, UT 84010-4989

Phone

(385) 259-2269

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 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

Ryan Vanatta, CMHCNPI 1912512351

Title

Registered Agent

Phone

(385) 259-2269

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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.

• Ryan Vanatta, CMHC

  • Mental Health Counselor
  • Bountiful, UT
  • NPI 1912512351
  NPD Authorized official
• Alannah Hunter, ACMHC

  • Counselor
  • Bountiful, UT
  • NPI 1003510413
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1255937975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 N LAFAYETTE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162148",
            "telephone_number": "385-259-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE B101",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104989",
            "telephone_number": "385-259-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "VANATTA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "385-259-2269",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Gmail",
            "affiliation": "N",
            "address_1": "415 Medical Dr Ste B101",
            "city": "Bountiful",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840104989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.