NPIMap

Organization Active NPI

Restoration Counseling & Psychotherapy

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1619126497
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
19974 Issued in TX
Legal business name
RESTORATION COUNSELING & PSYCHOTHERAPY
Practice address
2804 SE Loop 820
Fort Worth, TX 76140-1012
Phone
(817) 293-1555
Fax
(817) 293-1566
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. David Wayne Sutton, LPC
Title
Owner
Phone
(817) 293-1555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 19974 TX Primary
Community/Behavioral Health Agency 251S00000X 61635 TX

Addresses

Primary practice location

2804 SE Loop 820
Fort Worth, TX 76140-1012

Mailing address

2804 SE Loop 820
Fort Worth, TX 76140-1012
Phone (817) 293-1555

National Provider Directory

National Provider Directory

Locations

2804 SE Loop 820
Fort Worth, TX 76140
Phone (817) 293-1555

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1619126497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401012",
            "telephone_number": "817-293-1555",
            "fax_number": "817-293-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401012",
            "telephone_number": "817-293-1555",
            "fax_number": "817-293-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING & PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-293-1555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "19974",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "61635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.