NPIMap

Organization Active NPI

Restored Purpose Counseling Services, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1992321640
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORED PURPOSE COUNSELING SERVICES, PLLC
Practice address
6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450
Phone
(407) 594-7511
Fax
(561) 258-3381
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Jessie Huebner, MA, LMHC, LPCNPI 1710373972
Title
Ceo
Phone
(407) 594-7511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450

Mailing address

6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450
Phone (407) 594-7511

Other practice location 1

1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351
Phone (407) 594-7511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@myrestoredpurpose.com Direct

National Provider Directory

National Provider Directory

Locations

6100 Greenland Rd
Ste 903
Jacksonville, FL 32258
Phone (407) 594-7511

4114 Sunbeam Rd
Ste 101
Jacksonville, FL 32257
Phone (407) 594-7511

224 Datura St
Ste 1015
West Palm Beach, FL 33401
Phone (561) 600-8764

1155 Louisiana Ave
Ste 216
Winter Park, FL 32789
Phone (407) 349-3463

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1992321640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587450",
            "telephone_number": "407-594-7511",
            "fax_number": "561-258-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587450",
            "telephone_number": "407-594-7511",
            "fax_number": "561-258-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Louisiana Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327892351",
            "country_code": "US",
            "telephone_number": "407-594-7511",
            "fax_number": "561-258-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORED PURPOSE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "HUEBNER",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-594-7511",
        "authorized_official_credential": "MA, LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@myrestoredpurpose.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "224 Datura St Ste 1015",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334015638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.