NPIMap

Organization Active NPI

Restoration Counseling Services, LLC

  • Clinical Social Worker
  • Cullman, AL
National Provider Identifier
1366806325
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C2487A Issued in AL
Legal business name
RESTORATION COUNSELING SERVICES, LLC
Practice address
2014 2ND Ave NW
Cullman, AL 35058-0464
Phone
(256) 735-8152
Fax
(888) 255-4996
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Stacy Denney
Title
Office Manager
Phone
(256) 735-8152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C2487A AL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2014 2ND Ave NW
Cullman, AL 35058-0464

Mailing address

2014 2ND Ave NW
Cullman, AL 35058-0464

Other names 2

  • Restoration Counseling Services Doing business as
  • Sherry H Brown Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512002692 AL Part B Supplier - Clinic/Group Practice 2466861901 Receives reassigned benefits from 4 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

1528 Peachtree Ln NW
Ste 104
Cullman, AL 35058
Phone (256) 385-2539

2014 2nd Ave NW
Cullman, AL 35058
Phone (256) 735-8152

Practitioners & affiliated clinicians

Practitioners 7

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": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1366806325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 2ND AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 2ND AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580464",
            "telephone_number": "256-735-8152",
            "fax_number": "888-255-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DENNEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-735-8152"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "C2487A",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sherry H Brown",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.