Rest Recovery House Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REST RECOVERY HOUSE INC

Practice address

6560 Market St Ste 2
Upper Darby, PA 19082-3326

Phone

(445) 888-0093

NPI assigned

Aug 18, 2023

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camilla Williams

Title

Biller

Phone

(267) 879-0175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, and the practitioner matching its NPPES authorized official.

• Michelle Davis, MA, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1346781333

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1902689276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 MARKET ST STE 2",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 MARKET ST STE 2",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823326",
            "telephone_number": "445-888-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST RECOVERY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "267-879-0175"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.