Organization Active NPI

Restart Collective

  • Community/Behavioral Health Agency
  • Kingsport, TN
National Provider Identifier
1821897513
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESTART COLLECTIVE
Practice address
151 E Main St
Kingsport, TN 37660-4379
Phone
(423) 677-3023
Fax
(423) 378-3216
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Chris Thomas Bowen
Title
Owner
Phone
(423) 677-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

151 E Main St
Kingsport, TN 37660-4379

Mailing address

151 E Main St
Kingsport, TN 37660-4379
Phone (423) 677-3023

National Provider Directory

National Provider Directory

Locations

151 E Main St
Kingsport, TN 37660
Phone (423) 677-3023

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1821897513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E MAIN ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604379",
            "telephone_number": "423-677-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E MAIN ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604379",
            "telephone_number": "423-677-3023",
            "fax_number": "423-378-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTART COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-677-3023"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.