Organization Active NPI

Restored Life Counseling

  • Counselor
  • Glendale, AZ
National Provider Identifier
1356847008
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RESTORED LIFE COUNSELING
Doing business as
Restored Life Counseling
Practice address
17230 N 59TH Ave
Glendale, AZ 85308-3804
Phone
(360) 558-7663
Fax
(202) 788-6490
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Daniel Thomas Stephens, MACNPI 1053720193
Title
Director
Phone
(623) 267-5849

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

17230 N 59TH Ave
Glendale, AZ 85308-3804

Mailing address

17230 N 59TH Ave
Glendale, AZ 85308-3804
Phone (360) 558-7663

Other names 1

  • Restored Life Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

17230 N 59th Ave
Glendale, AZ 85308
Phone (360) 558-7663

5411 NE 107th Ave
Ste 100
Vancouver, WA 98662
Phone (360) 609-8535

Practitioners & affiliated clinicians

Practitioners 4

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": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1356847008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083804",
            "telephone_number": "360-558-7663",
            "fax_number": "202-788-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083804",
            "telephone_number": "360-558-7663",
            "fax_number": "202-788-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-267-5849",
        "authorized_official_credential": "MAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restored Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.