Restoring You Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORING YOU THERAPY

Practice address

3237 W Carefree Cir
Colorado Springs, CO 80917-3004

Phone

(719) 271-2496

NPI assigned

Apr 27, 2019

Last updated

Apr 27, 2019By 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

Diane Pukajlo, LCSWNPI 1982729927

Title

Owner

Phone

(719) 482-6608

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Diane Pukajlo, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1982729927
  NPD Authorized official

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556323200000",
    "number": "1336703107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16825 GUADALUPE CT",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808319452",
            "telephone_number": "719-426-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 W CAREFREE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173004",
            "telephone_number": "719-271-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING YOU THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-04-27",
        "status": "A",
        "authorized_official_last_name": "PUKAJLO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-482-6608",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982729927",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restore Health Family Practice
• Restore Osteo of Colorado LLC (Spruce Health Group)
• Restored Ground Therapy and Counseling LLC
• Restored Ground Therapy and Counseling LLC
• Restoring Lives Counseling Services
• Resurgence of Life Counseling & Consulting
• Retana Investments, Inc (Arms of An Angel Home Health Care)
• Retina Consultants of Southern Colorado P C
• Retina Consultants of Southern Colorado P C
• Karen Retsky, PHARMD

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.