Organization Active NPI

Restoration Therapy

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1770191272
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATION THERAPY
Practice address
6648 Charles St
Omaha, NE 68132-1136
Phone
(402) 813-2255
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Carla Habrich, LIMHP, CPC, LADCNPI 1558817759
Title
Owner/Mental Health &Substance Use
Phone
(402) 813-2255

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

6648 Charles St
Omaha, NE 68132-1136

Mailing address

6648 Charles St
Omaha, NE 68132-1136
Phone (402) 813-2255

Other identifiers 1

IdentifierTypeStateIssuer
1558817759MedicaidNE

National Provider Directory

National Provider Directory

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1770191272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6648 CHARLES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681321136",
            "telephone_number": "402-813-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6648 CHARLES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681321136",
            "telephone_number": "402-813-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "HABRICH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH &SUBSTANCE USE",
        "authorized_official_telephone_number": "402-813-2255",
        "authorized_official_credential": "LIMHP, CPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558817759",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.