Restoring the Brokenhearted

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESTORING THE BROKENHEARTED

Practice address

1000 W Wilshire Blvd Ste 220
Oklahoma City, OK 73116-7036

Phone

(405) 923-5933

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Janetta Renee Sledge, LPCNPI 1154645778

Title

Therapist

Phone

(405) 923-5933

Specialties & licenses 1

Addresses

Tax ID family

Restoring the Brokenhearted2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Restoring the Brokenhearted

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1033636683
  NPD tax ID

Locations

Practitioners 1

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.

• Janetta Renee Sledge

  • Community Health Worker
  • Oklahoma, OK
  • NPI 1154645778
  Authorized official Same address or phone

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1629473863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD STE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167036",
            "telephone_number": "405-923-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD STE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167036",
            "telephone_number": "405-923-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING THE BROKENHEARTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "JANETTA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-923-5933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Alternative Wellness Inc
• Restorative Counseling Services Inc
• Restorative Mind Therapy LLC
• Restore Family Counseling, LLC
• Restoring the Brokenhearted
• Nicolas Restrepo
• Gabriela Restuccia, DDS
• Retail Clinics, LLC (Community Express Care)
• Scott Retallack
• Amy M Retherford

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.