Restorative Recovery, LTD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESTORATIVE RECOVERY, LTD

Practice address

1211 Charles Dr
Reno, NV 89509-2411

Phone

(775) 335-5625

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Jae Jesse Lee, LADCNPI 1861824054

Title

Owner

Phone

(775) 335-5625

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: jj@restorativerecoveryreno.com

Practitioners 1

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

• Jae Jesse Lee, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Reno, NV
  • NPI 1861824054
  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1508459645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HOLCOMB AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022427",
            "telephone_number": "775-335-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CHARLES DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092411",
            "telephone_number": "775-335-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE RECOVERY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-335-5625",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jj@RestorativeRecoveryReno.com",
            "affiliation": "N",
            "endpointDescription": "email for business",
            "address_1": "1211 Charles Dr",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895092411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justine Lee Resnik, MD
• Resonance Counseling Collective
• Resources Mental Health
• Restart, Inc
• Restorative Counseling & Wellness, LLC
• Anton Rets, M.D.
• Cathryn Heydon Retterath, RNFA
• Taylor Retterath
• Preston Reugebrink, PA-C
• Renee Angela Reveles, MSW, LCSW

• Mental Health Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.