NPIMap

Organization Active NPI

Restorative Balance Counseling and Consulting, LLC

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1376145011
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESTORATIVE BALANCE COUNSELING AND CONSULTING, LLC
Practice address
12328 Granada Way
Woodbridge, VA 22192-6290
Phone
(240) 222-2961
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Octavia Haughton, LPCNPI 1952935330
Title
Director
Phone
(240) 222-2961

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12328 Granada Way
Woodbridge, VA 22192-6290

Mailing address

12328 Granada Way
Woodbridge, VA 22192-6290

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL restorativebalancecounseling@gmail.com Direct

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1376145011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12328 GRANADA WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12328 GRANADA WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926290",
            "telephone_number": "240-222-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BALANCE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "HAUGHTON",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-222-2961",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "restorativebalancecounseling@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "12328 Granada Way",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221926290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.