Era of Restoration Mental Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ERA OF RESTORATION MENTAL HEALTH SERVICES

Doing business as

Era of Restoration Mental Health Services, LLC

Practice address

4630 200TH St SW Ste C
Lynnwood, WA 98036-6608

Phone

(425) 670-0280

Fax

(425) 670-0278

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Heather O'Neal

Title

Administrative Manager

Phone

(425) 670-0280

Specialties & licenses 2

Addresses

Other names 1

• Era of Restoration Mental Health Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1700530854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 200TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366608",
            "telephone_number": "425-670-0280",
            "fax_number": "425-670-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 200TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366608",
            "telephone_number": "425-670-0280",
            "fax_number": "425-670-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11900 NE 1st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980053049",
            "country_code": "US",
            "telephone_number": "425-670-0280 x1",
            "fax_number": "425-670-0278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 23rd Ave SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983724501",
            "country_code": "US",
            "telephone_number": "425-670-0280 x1",
            "fax_number": "425-670-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERA OF RESTORATION MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "425-670-0280"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Era of Restoration Mental Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane E Engelbrecht, M.D.
• Allison Engstrand-Fila
• Jonathan Christopher Ensley Jr.
• Jeongseon Eom
• John H. Ephron, M.D.
• Christina Carol Erfan, MA-P
• Ethan Edward Erhardt
• Bailey Erickson
• Laura Lee Erickson, LMFT
• Erika Giraldo, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.