Restoration Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORATION COUNSELING CENTER

Practice address

209 Roya LN Ste 4
Bryant, AR 72022-2669

Phone

(501) 350-9660

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Nicki Kinley, LCSWNPI 1912159831

Title

Owner

Phone

(501) 350-9660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicki Shauntel Kinley, LCSW

  • Clinical Social Worker
  • Bryant, AR
  • NPI 1912159831
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1831883131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720890277",
            "telephone_number": "501-350-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ROYA LN STE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222669",
            "telephone_number": "501-350-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "KINLEY",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-350-9660",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Cianna Reid
• Tracey Leigh Renard, M.S, CCC-SLP
• Renew You Aesthetics & Wellness
• Shauna Renfroe
• Meghan Freiley Repp, M.D.
• Restoration Health of Bryant, PLLC
• Restorative Minds Clinic
• Rita Alvares Ribeiro, D.D.S.
• Micheal Todd Rice, MD
• Kayla Marie Riddle, B.S.,SLPA

• Clinical Social Worker in Bryant, AR
• Providers in Bryant, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.