Organization Active NPI

Restorative Hope Sanctuary PLLC

  • Counselor
  • Hutto, TX
National Provider Identifier
1861154023
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RESTORATIVE HOPE SANCTUARY PLLC
Practice address
1615 County Road 107
Hutto, TX 78634-3009
Phone
(255) 498-7040
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Tramaine Williams, LPC
Title
Credentialing Specialist
Phone
(254) 987-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1615 County Road 107
Hutto, TX 78634-3009

Mailing address

1309 Winkler Ave Apt 628
Killeen, TX 76542-6489
Phone (254) 987-0405

Other practice location 1

1135 County Road 1045
Lampasas, TX 76550-3449
Phone (254) 987-0405

Other practice location 2

1826 Stagecoach Rd
Killeen, TX 76542-5694
Phone (254) 987-0405

Other names 1

  • Restorative Hope Sanctuary Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250825001558 TX Part B Supplier - Clinic/Group Practice 2466952395 Receives reassigned benefits from 1 practitioner
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

4201 W Stan Schlueter Loop
Ste F
Killeen, TX 76549
Phone (254) 987-0405

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1861154023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 WINKLER AVE APT 628",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426489",
            "telephone_number": "254-987-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 COUNTY ROAD 107",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786343009",
            "telephone_number": "255-498-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 County Road 1045",
            "address_purpose": "LOCATION",
            "city": "Lampasas",
            "state": "TX",
            "postal_code": "765503449",
            "country_code": "US",
            "telephone_number": "254-987-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1826 Stagecoach Rd",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765425694",
            "country_code": "US",
            "telephone_number": "254-987-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE HOPE SANCTUARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRAMAINE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "254-987-0405",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Hope Sanctuary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hutto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.