Organization Active NPI

Restore -Recover-Renew LLC

Doing business as Grateful Hearts Counseling

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1700695954
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESTORE -RECOVER-RENEW LLC
Doing business as
Grateful Hearts Counseling
Practice address
274 Bobwhite Way
San Antonio, TX 78253-6977
Phone
(107) 932-2842
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KAUFFMANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Stacey L Kauffman, LCSWNPI 1629760517
Title
Ceo
Phone
(210) 793-2284

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 1

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

Addresses

Primary practice location

274 Bobwhite Way
San Antonio, TX 78253-6977

Mailing address

274 Bobwhite Way
San Antonio, TX 78253-6977
Phone (210) 793-2284

Other names 1

  • GRATEFUL HEARTS COUNSELING Doing business as

National Provider Directory

National Provider Directory
Part of
Restore -Recover-Renew LLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1700695954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 BOBWHITE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536977",
            "telephone_number": "210-793-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 BOBWHITE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536977",
            "telephone_number": "107-932-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE -RECOVER-RENEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAUFFMAN",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-793-2284",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRATEFUL HEARTS COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.