Organization Active NPI

Counseling Restores PLLC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1841958899
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNSELING RESTORES PLLC
Practice address
5939 W Bell Rd
Glendale, AZ 85308-3711
Phone
(309) 255-6290
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Ellie J Sivill, LPC, LCPCNPI 1891017943
Title
Licensed Professional Counselor
Phone
(309) 255-6290

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

5939 W Bell Rd
Glendale, AZ 85308-3711

Mailing address

17030 N 49TH St Apt 3174
Scottsdale, AZ 85254-7584
Phone (309) 255-6290

National Provider Directory

National Provider Directory

Locations

5939 W Bell Rd
Glendale, AZ 85308
Phone (309) 255-6290

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1841958899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 N 49TH ST APT 3174",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547584",
            "telephone_number": "309-255-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083711",
            "telephone_number": "309-255-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING RESTORES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "SIVILL",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "309-255-6290",
        "authorized_official_credential": "LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.