Organization Active NPI

Restoration Mind Center LLC

  • Mental Health Counselor
  • Greenwood Village, CO
National Provider Identifier
1720708332
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATION MIND CENTER LLC
Practice address
5310 DTC Pkwy Ste a
Greenwood Village, CO 80111-3010
Phone
(720) 577-5546
Fax
(720) 961-5980
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Carron Maclean, LPCNPI 1245680263
Title
Sole Proprietor Owner
Phone
(720) 260-6409

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5310 DTC Pkwy Ste a
Greenwood Village, CO 80111-3010

Mailing address

5310 DTC Pkwy Ste a
Greenwood Village, CO 80111-3010
Phone (720) 577-5546

National Provider Directory

National Provider Directory

Locations

5310 Dtc Pkwy
Ste A
Greenwood Village, CO 80111
Phone (720) 392-5358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1720708332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 DTC PKWY STE A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113010",
            "telephone_number": "720-577-5546",
            "fax_number": "720-961-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 DTC PKWY STE A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113010",
            "telephone_number": "720-577-5546",
            "fax_number": "720-961-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MIND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "MACLEAN",
        "authorized_official_first_name": "CARRON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR OWNER",
        "authorized_official_telephone_number": "720-260-6409",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.