Organization Active NPI

Restore Family Counseling, LLC

  • Marriage & Family Therapist
  • Kokomo, IN
National Provider Identifier
1861174831
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RESTORE FAMILY COUNSELING, LLC
Practice address
618 E Boulevard
Kokomo, IN 46902-2289
Phone
(765) 450-3198
NPI assigned
Aug 1, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Annetta Rae McKaig
Title
Owner
Phone
(765) 450-3198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

618 E Boulevard
Kokomo, IN 46902-2289

Mailing address

618 E Boulevard
Kokomo, IN 46902-2289
Phone (765) 450-3198

National Provider Directory

National Provider Directory

Locations

618 E Boulevard
Kokomo, IN 46902
Phone (765) 450-3198

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1861174831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022289",
            "telephone_number": "765-450-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022289",
            "telephone_number": "765-450-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "MCKAIG",
        "authorized_official_first_name": "ANNETTA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-450-3198"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.