NPIMap

Organization Active NPI

Restored Counseling LLC

Doing business as Restored Counseling

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1730879974
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESTORED COUNSELING LLC
Doing business as
Restored Counseling
Practice address
4650 S National Ave Ste A4
Springfield, MO 65810-2893
Phone
(417) 208-9840
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Leslie Bashioum, MS, LPCNPI 1629441944
Title
President
Phone
(417) 208-9840

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4650 S National Ave Ste A4
Springfield, MO 65810-2893

Mailing address

4650 S National Ave Ste A4
Springfield, MO 65810-2893
Phone (417) 208-9840

Other names 1

  • Restored Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

4650 S National Ave
Ste A4
Springfield, MO 65810
Phone (417) 208-9840

Practitioners & affiliated clinicians

Practitioners 3

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1730879974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE STE A4",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102893",
            "telephone_number": "417-208-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE STE A4",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102893",
            "telephone_number": "417-208-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BASHIOUM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-208-9840",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restored Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.