Organization Active NPI

Restore & Prevail Coaching Counseling & Consulting PLLC

  • Clinical Social Worker
  • Rockport, TX
National Provider Identifier
1497670079
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESTORE & PREVAIL COACHING COUNSELING & CONSULTING PLLC
Practice address
917 N Fuqua St
Rockport, TX 78382-5159
Phone
(361) 502-7707
NPI assigned
Aug 12, 2026
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Kacy Miller
Title
Contracting Credentialing Specialis
Phone
(618) 979-5299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

917 N Fuqua St
Rockport, TX 78382-5159

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1497670079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N FUQUA ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783825159",
            "telephone_number": "361-502-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE & PREVAIL COACHING COUNSELING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KACY",
        "authorized_official_title_or_position": "CONTRACTING CREDENTIALING SPECIALIS",
        "authorized_official_telephone_number": "618-979-5299"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.