Organization Active NPI

Restoration Cec Texas, LLC

Doing business as Restoration

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1649709601
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19393
Legal business name
RESTORATION CEC TEXAS, LLC
Doing business as
Restoration
Practice address
2421 W 7TH St Ste 400
Fort Worth, TX 76107-2388
Phone
(817) 291-9872
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lee Long, LPCNPI 1558367748
Title
Ceo
Phone
(469) 878-9967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19393 Primary

Addresses

Primary practice location

2421 W 7TH St Ste 400
Fort Worth, TX 76107-2388

Mailing address

2421 W 7TH St Ste 400
Fort Worth, TX 76107-2388
Phone (817) 291-9872

Other practice location 1

8150 N Central Expy Ste M2130
Dallas, TX 75206-1833
Phone (214) 205-3781

Other names 1

  • Restoration Doing business as

National Provider Directory

National Provider Directory

Locations

8150 N Central Expy
Ste M2130
Dallas, TX 75206
Phone (214) 205-3781

2421 W 7th St
Ste 400
Fort Worth, TX 76107
Phone (817) 291-9872

550 Bailey Ave
Ste 302
Fort Worth, TX 76107
Phone (682) 472-4925

Practitioners & affiliated clinicians

Practitioners 2

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": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649709601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 W 7TH ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072388",
            "telephone_number": "817-291-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 W 7TH ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072388",
            "telephone_number": "817-291-9872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 N Central Expy Ste M2130",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752061833",
            "country_code": "US",
            "telephone_number": "214-205-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATION CEC TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-878-9967",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "19393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.