Organization Active NPI

Restored Haven Counseling

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1508311333
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67361 Issued in TN
Legal business name
RESTORED HAVEN COUNSELING
Practice address
9896 Bissonnet St
455
Houston, TX 77036-8104
Phone
(832) 705-9208
Fax
(832) 941-1136
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Kandys Renee' McKinley, MED, LPC, LSOTPNPI 1023455128
Title
Psychotherapist/Owner
Phone
(832) 705-9208

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 67361 TN Primary

Addresses

Primary practice location

9896 Bissonnet St
455
Houston, TX 77036-8104

Mailing address

2147 Diamond Crest Dr
Missouri City, TX 77489-3285
Phone (832) 816-8444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1508311333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 DIAMOND CREST DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893285",
            "telephone_number": "832-816-8444",
            "fax_number": "832-941-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST",
            "address_2": "455",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "832-705-9208",
            "fax_number": "832-941-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED HAVEN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "KANDYS",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "832-705-9208",
        "authorized_official_credential": "MED, LPC, LSOTP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "67361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.