NPIMap

Organization Active NPI

Restorative Mental Health PLLC

  • Mental Health Counselor
  • Bastrop, TX
National Provider Identifier
1992429740
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATIVE MENTAL HEALTH PLLC
Practice address
1604 Industry Dr Ste 108C
Bastrop, TX 78602-4603
Phone
(737) 251-5707
Fax
(737) 222-4463
NPI assigned
Sep 26, 2022
Organization subpart
Yes
Parent organization
RESTORATIVE MENTAL HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Patricia L. Weber, LPCC/LPCNPI 1265107650
Title
Clinical Director
Phone
(737) 251-5707

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1604 Industry Dr Ste 108C
Bastrop, TX 78602-4603

Mailing address

1604 Industry Dr Ste 108C
Bastrop, TX 78602-4603
Phone (737) 222-4463

Other practice location 1

173 Cassel Way
Bastrop, TX 78602-5727
Phone (952) 210-6285

Other names 1

  • Family Recovery Essentials Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123001600 TX Part B Supplier - Clinic/Group Practice 6901258284 Receives reassigned benefits from 5 practitioners
Practice locations: Bastrop, TX

National Provider Directory

National Provider Directory
Part of
Restorative Mental Health

Locations

1604 Industry Dr
Ste 108C
Bastrop, TX 78602
Phone (737) 251-5707

1604 Industry Dr
Ste 105
Bastrop, TX 78602
Phone (737) 251-2707

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1992429740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRY DR STE 108C",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024603",
            "telephone_number": "737-222-4463",
            "fax_number": "737-238-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRY DR STE 108C",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024603",
            "telephone_number": "737-251-5707",
            "fax_number": "737-222-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Cassel Way",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025727",
            "country_code": "US",
            "telephone_number": "952-210-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE MENTAL HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORATIVE MENTAL HEALTH PLLC",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "737-251-5707",
        "authorized_official_credential": "LPCC/LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Recovery Essentials",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Recovery Essentials",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.