NPIMap

Organization Active NPI

Restorative Counseling Center, LLC

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1386269355
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATIVE COUNSELING CENTER, LLC
Practice address
138 E Bloomingdale Ave Ste 1
Brandon, FL 33511-8101
Phone
(813) 444-7116
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Amanda Levy, LMHCNPI 1689224339
Title
Owner/Therapist
Phone
(813) 444-7116

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

138 E Bloomingdale Ave Ste 1
Brandon, FL 33511-8101

Mailing address

919 Meizner Real Ave Apt 204
Brandon, FL 33511-8897

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@restorativecounselingcenter.com

National Provider Directory

National Provider Directory

Locations

138 E Bloomingdale Ave
Ste 1
Brandon, FL 33511
Phone (813) 444-7116

Practitioners & affiliated clinicians

Practitioners 2

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1386269355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MEIZNER REAL AVE APT 204",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E BLOOMINGDALE AVE STE 1",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "813-444-7116",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@restorativecounselingcenter.com",
            "affiliation": "N",
            "address_1": "138 E Bloomingdale Ave Ste 1",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335118101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.