NPIMap

Organization Active NPI

Restorations for Life Ministries

  • Professional Counselor
  • Brooklyn Park, MN
National Provider Identifier
1932428067
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC00015 Issued in MN
Legal business name
RESTORATIONS FOR LIFE MINISTRIES
Practice address
5831 74TH Ave N
Brooklyn Park, MN 55443-3109
Phone
(763) 503-3747
Fax
(763) 560-8148
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Vicki Marie Rocha, LPCC
Title
Owner
Phone
(763) 503-3747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPCC00015 MN Primary

Addresses

Primary practice location

5831 74TH Ave N
Brooklyn Park, MN 55443-3109

Mailing address

5831 74TH Ave. N.
Brooklyn Park, MN 55443
Phone (763) 503-3747

Other names 1

  • Restorations for Life Doing business as

National Provider Directory

National Provider Directory

Locations

5831 74th Ave N
Minneapolis, MN 55443
Phone (763) 503-3747

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1932428067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 74TH AVE. N.",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-503-3747",
            "fax_number": "763-560-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 74TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433109",
            "telephone_number": "763-503-3747",
            "fax_number": "763-560-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIONS FOR LIFE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-503-3747",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPCC00015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorations for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.