NPIMap

Organization Active NPI

A Restored Life Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Payette, ID
National Provider Identifier
1710535646
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
A RESTORED LIFE COUNSELING
Practice address
540 S 16TH St Ste 118
Payette, ID 83661-3514
Phone
(208) 297-8889
Fax
(208) 485-9475
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Gina L Osterloth, CADCNPI 1538714795
Title
Owner
Phone
(208) 297-8889

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

540 S 16TH St Ste 118
Payette, ID 83661-3514

Mailing address

540 S 16TH St Ste 118
Payette, ID 83661-3514
Phone (208) 297-8889

Other names 1

  • A-Restored Life Counseling Other name

National Provider Directory

National Provider Directory

Locations

540 S 16th St
Ste 118
Payette, ID 83661
Phone (208) 297-8889

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": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1710535646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S 16TH ST STE 118",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836613514",
            "telephone_number": "208-297-8889",
            "fax_number": "208-485-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S 16TH ST STE 118",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836613514",
            "telephone_number": "208-297-8889",
            "fax_number": "208-485-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RESTORED LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "OSTERLOTH",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-297-8889",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-Restored Life Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Payette, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.