Organization Active NPI

Foundation Restoration Inc.

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1609263953
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1831 Issued in NC
Legal business name
FOUNDATION RESTORATION INC.
Practice address
9370 Falls of Neuse Rd Ste 203
Raleigh, NC 27615-2487
Phone
(919) 569-5820
NPI assigned
Apr 23, 2015
Last updated
Jan 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Mrs. Ashley McIlwain, M.A., LMFTANPI 1881014819
Title
Founder and Ceo
Phone
(919) 569-5820

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1831 NC Primary
Community/Behavioral Health Agency 251S00000X LMFTA - 9080A NC

Addresses

Primary practice location

9370 Falls of Neuse Rd Ste 203
Raleigh, NC 27615-2487

Mailing address

9650 Strickland Rd
Suite 103-180
Raleigh, NC 27615-1902
Phone (949) 385-2711

National Provider Directory

National Provider Directory

Locations

9650 Strickland Rd
Ste 103180
Raleigh, NC 27615
Phone (919) 569-5820

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1609263953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND RD",
            "address_2": "SUITE 103-180",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151902",
            "telephone_number": "949-385-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 FALLS OF NEUSE RD STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152487",
            "telephone_number": "919-569-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION RESTORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "MCILWAIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "919-569-5820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LMFTA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1831",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "LMFTA - 9080A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.