Restore Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESTORE COUNSELING LLC

Practice address

666 Godwin Ave Ste 120-6
Midland Park, NJ 07432-1449

Phone

(201) 693-5335

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Phillip Bracco, LMFTNPI 1598148496

Title

Principle

Phone

(201) 693-5335

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Bracco

  • Marriage & Family Therapist
  • Ramsey, NJ
  • NPI 1598148496
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1427749563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE STE 120-6",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321449",
            "telephone_number": "201-693-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE STE 120-6",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321449",
            "telephone_number": "201-693-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "BRACCO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "201-693-5335",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Edward Ramos, DMD
• Mary Rebecca Fairbanks Rasor, COTA/L
• Erica L. Realpe, LMFT
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• Aimee Restifo, L.C.S.W.
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• Laura M. Richardson, PH.D.
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• Ridgewood Nursing Home Health, LLC
• Laura V. Rodriguez-Frank, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.