Organization Active NPI

Restart Professional Group, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bellevue, WA
National Provider Identifier
1851022370
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESTART PROFESSIONAL GROUP, PLLC
Practice address
2002 156TH Ave SE, Suite 100
Suite 100
Bellevue, WA 98007
Phone
(800) 682-0670
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Cosette Rae, LICSW
Title
Ceo
Phone
(800) 682-6934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2002 156TH Ave SE, Suite 100
Suite 100
Bellevue, WA 98007

Mailing address

1001 290TH Ave SE
Fall City, WA 98024-7403

National Provider Directory

National Provider Directory
Tax ID family
Restart Professional Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1851022370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 290TH AVE SE",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980247403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 156TH AVE SE, SUITE 100",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98007",
            "telephone_number": "800-682-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTART PROFESSIONAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "COSETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-682-6934",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.