Active NPI
Restoration Wellness and Therapeutic Services LLC
- Mental Health Counselor
- Livingston, MT
National Provider Identifier
1992410096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RESTORATION WELLNESS AND THERAPEUTIC SERVICES LLC
- Practice address
- 124 S Main St Ste 211
Livingston, MT 59047-2664 - Phone
- (406) 223-2877
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Beth Bandstra, LCSW
- Title
- Owner
- Phone
- (406) 223-2877
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
124 S Main St Ste 211
Livingston, MT 59047-2664
Mailing address
PO Box 1681
Livingston, MT 59047-4701
Phone (406) 223-2877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 S Main St
Ste 211
Livingston, MT 59047
Phone (406) 223-2877
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Livingston, MT
- NPI 1447805460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1992410096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590474701",
"telephone_number": "406-223-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S MAIN ST STE 211",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472664",
"telephone_number": "406-223-2877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION WELLNESS AND THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "BANDSTRA",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-223-2877",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.