Organization Active NPI

Restoration Support Services LLC

  • Peer Specialist
  • Wilson, NC
National Provider Identifier
1780525758
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
RESTORATION SUPPORT SERVICES LLC
Practice address
400 Seven Hills Annex Rd W Ste 200
Wilson, NC 27893-3688
Phone
(252) 343-5246
NPI assigned
Apr 3, 2026
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Kelly D Herndon, PEER SUPPORTNPI 1710828710
Title
Peer Support
Phone
(252) 343-5246

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
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

400 Seven Hills Annex Rd W Ste 200
Wilson, NC 27893-3688

Mailing address

400 Seven Hills Annex Rd W Ste 200
Wilson, NC 27893-3688
Phone (252) 343-5246

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, 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": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1780525758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SEVEN HILLS ANNEX RD W STE 200",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933688",
            "telephone_number": "252-343-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SEVEN HILLS ANNEX RD W STE 200",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933688",
            "telephone_number": "252-343-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PEER SUPPORT",
        "authorized_official_telephone_number": "252-343-5246",
        "authorized_official_credential": "PEER SUPPORT"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.