Active NPI
Root & Restore Therapy Center
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1457264319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROOT & RESTORE THERAPY CENTER
- Practice address
- 3769 Tibbetts St Ste I-2
Riverside, CA 92506-2638 - Phone
- (949) 293-1001
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krista Marie Campbell, LCSW
- Title
- Owner
- Phone
- (949) 293-1001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3769 Tibbetts St Ste I-2
Riverside, CA 92506-2638
Mailing address
3769 Tibbetts St Ste I-2
Riverside, CA 92506-2638
Phone (949) 293-1001
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Riverside, CA
- NPI 1912719931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1457264319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3769 TIBBETTS ST STE I-2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062638",
"telephone_number": "949-293-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3769 TIBBETTS ST STE I-2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062638",
"telephone_number": "949-293-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOT & RESTORE THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "KRISTA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-293-1001",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.