Organization Active NPI

Rest Stop Therapy

  • Community/Behavioral Health Agency
  • Concord, NC
National Provider Identifier
1992550149
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REST STOP THERAPY
Practice address
140 Cabarrus Ave W Ste 19
Concord, NC 28025-5150
Phone
(704) 956-7719
Fax
(704) 559-3826
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Ms. Tonda E Childers, LCMHCNPI 1861909020
Title
Owner/Counselor
Phone
(704) 956-7719

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

140 Cabarrus Ave W Ste 19
Concord, NC 28025-5150

Mailing address

2101 Florida Ave
Kannapolis, NC 28083-6705
Phone (704) 956-7719

National Provider Directory

National Provider Directory

Locations

140 Cabarrus Ave W
Ste 19
Kannapolis, NC 28025
Phone (704) 956-7719

Practitioners & affiliated clinicians

Practitioners 1

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1992550149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FLORIDA AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836705",
            "telephone_number": "704-956-7719",
            "fax_number": "704-559-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CABARRUS AVE W STE 19",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255150",
            "telephone_number": "704-956-7719",
            "fax_number": "704-559-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST STOP THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "TONDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "704-956-7719",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.