NPIMap

Organization Active NPI

Restoration Family Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Smithfield, NC
National Provider Identifier
1396921201
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RESTORATION FAMILY SERVICES, INC.
Practice address
714 Wilkins St
Smithfield, NC 27577
Phone
(919) 938-9502
Fax
(919) 938-9702
NPI assigned
Jan 10, 2008
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Mrs. Renee Holloway Jones, LPC, LCASANPI 1306269170
Title
President/Ceo
Phone
(919) 938-9502

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU
Community/Behavioral Health Agency 251S00000X NC

Addresses

Primary practice location

714 Wilkins St
Smithfield, NC 27577

Mailing address

714 Wilkins St
Smithfield, NC 27577-4648
Phone (919) 938-9502

Other practice location 1

712 Wilkins St
Smithfield, NC 27577-4664
Phone (919) 938-9502

Other practice location 2

706 Wilkins St Ste B
Smithfield, NC 27577-4662
Phone (919) 938-9502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140730002073 NC Part B Supplier - Clinic/Group Practice 4082830807 Receives reassigned benefits from 7 practitioners
Practice locations: Smithfield, NC

National Provider Directory

National Provider Directory
Tax ID family
Restoration Family Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

706 Wilkins St
Ste B
Smithfield, NC 27577
Phone (919) 938-9502

712 Wilkins St
Ste D
Smithfield, NC 27577
Phone (919) 934-2360

714 Wilkins St
Smithfield, NC 27577
Phone (919) 938-9502

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1396921201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WILKINS ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774648",
            "telephone_number": "919-938-9502",
            "fax_number": "919-938-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WILKINS ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-938-9502",
            "fax_number": "919-938-9702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Wilkins St",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774664",
            "country_code": "US",
            "telephone_number": "919-938-9502",
            "fax_number": "919-938-9702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Wilkins St Ste B",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774662",
            "country_code": "US",
            "telephone_number": "919-938-9502",
            "fax_number": "919-938-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATION FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "HOLLOWAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-938-9502",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LCASA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.