Organization Active NPI

Recover. Restart. Refreshed, Inc.

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1275053613
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RECOVER. RESTART. REFRESHED, INC.
Practice address
1882 Capital Cir NE Ste 205
Tallahassee, FL 32308-4568
Phone
(888) 718-4915
Fax
(850) 765-7597
NPI assigned
Jun 27, 2017
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Da'Shaneka Wright, MPHNPI 1497328868
Title
Co-Executive Director
Phone
(850) 222-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary
Case Management Agency 251B00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1882 Capital Cir NE Ste 205
Tallahassee, FL 32308-4568

Mailing address

1882 Capital Cir NE Ste 205
Tallahassee, FL 32308-4568
Phone (888) 718-4915

Other practice location 1

1801 NE 123rd St Ste 334
North Miami, FL 33181-2883
Phone (888) 718-4915

Other identifiers 1

IdentifierTypeStateIssuer
111727700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@rrrinc.org Direct

National Provider Directory

National Provider Directory

Locations

1801 NE 123rd St
Ste 334
North Miami, FL 33181
Phone (850) 222-0552

1882 Capital Cir NE
Ste 205
Tallahassee, FL 32308
Phone (850) 222-0552

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1275053613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 205",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "888-718-4915",
            "fax_number": "850-765-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 205",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "888-718-4915",
            "fax_number": "850-765-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NE 123rd St Ste 334",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812883",
            "country_code": "US",
            "telephone_number": "888-718-4915",
            "fax_number": "850-765-7597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVER. RESTART. REFRESHED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DA'SHANEKA",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-222-0552",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111727700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@rrrinc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1882 Capital Cir NE Ste 205",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323084568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.