Organization Active NPI

Restoring Eden Family Counseling Services Professional Corporation

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1770385643
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RESTORING EDEN FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION
Practice address
1320 Yuba St Ste 203
Redding, CA 96001-1057
Phone
(530) 276-8580
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Tristanne Gallardo-StewartNPI 1245863703
Title
LMFT, LPCC/Ceo
Phone
(530) 276-8580

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1320 Yuba St Ste 203
Redding, CA 96001-1057

Mailing address

1320 Yuba St Ste 203
Redding, CA 96001-1057

Other names 1

  • Restoring Eden Family Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509001865 CA Part B Supplier - Clinic/Group Practice 4981121290 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

1320 Yuba St
Ste 203
Redding, CA 96001
Phone (530) 276-8580

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": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1770385643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 YUBA ST STE 203",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 YUBA ST STE 203",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011057",
            "telephone_number": "530-276-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING EDEN FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "GALLARDO-STEWART",
        "authorized_official_first_name": "TRISTANNE",
        "authorized_official_title_or_position": "LMFT, LPCC/CEO",
        "authorized_official_telephone_number": "530-276-8580"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoring Eden Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restoring Eden Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.