Organization Active NPI

Restorative Solutions Therapy, LLC

  • Mental Health Counselor
  • Reston, VA
National Provider Identifier
1336822626
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATIVE SOLUTIONS THERAPY, LLC
Practice address
1962 Roland Clarke PL
Reston, VA 20191-1405
Phone
(571) 239-4728
NPI assigned
Aug 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Mrs. Nicole Irving, LPCNPI 1942832621
Title
Founder and Therapist
Phone
(571) 239-4728

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1962 Roland Clarke PL
Reston, VA 20191-1405

Mailing address

1962 Roland Clarke PL
Reston, VA 20191-1405
Phone (571) 239-4728

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1336822626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 ROLAND CLARKE PL",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911405",
            "telephone_number": "571-239-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 ROLAND CLARKE PL",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911405",
            "telephone_number": "571-239-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE SOLUTIONS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER AND THERAPIST",
        "authorized_official_telephone_number": "571-239-4728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.