RESTORE GRACE COUNSELING LLC (NPI# 1407463730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407463730 |
| Entity Type | Organization |
| Organization Name | RESTORE GRACE COUNSELING LLC |
| Practice Address |
1015 37th Avenue Ct Unit 102 Greeley CO 80634-2500 |
| Practice Telephone | 9703526830 |
| Practice Fax Number | 9703521945 |
| Mailing Telephone | 9703526830 |
| Mailing Fax Number | 9703521945 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MRS. GENA DU BOIS HEPWORTH (FOUNDER RGC/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9073526830 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Restore Grace Counseling LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Restore Grace Counseling LLC | 1015 37th Ave.ct. Unit #102, Greeley, CO 80634-2500 |
| Street Address |
1015 37TH AVENUE CT UNIT 102 |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184971756 | Livia Daniela Dumesnil | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2012-08-13 |
| 1588289730 | Integrated Therapeutic Services, LLC | Clinic/Center | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2020-06-13 |
| 1154979318 | Gena Du Bois Hepworth | Social Worker | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2019-08-30 |
| 1811453624 | Elina Zentz | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2019-02-17 |
| 1598205577 | Amy Carlson | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2017-02-24 |
| 1538513361 | Kimberly Page | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2016-04-18 |
| 1326465964 | Leigh Stiverson | Counselor | 1015 37th Avenue Ct Unit 102, Greeley, CO 80634-2500 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114582855 | Sexual Assault Victim Advocate Center | Social Worker | 921 38th Avenue Ct, Greeley, CO 80634-1501 | 2019-05-08 |
| 1255807616 | Bonding and Behavior, LLC | Social Worker | 3835 W 10th St Ste 100g, Greeley, CO 80634-1554 | 2018-10-23 |
| 1306349733 | A Ray of Hope Counseling, LLC | Social Worker | 2705 50th Ave, Greeley, CO 80634-4015 | 2018-03-12 |
| 1700392826 | Louise M Quijano | Social Worker | 14272 County Road 72, Greeley, CO 80631-9371 | 2017-12-27 |
| 1720511686 | Jill Ann Boyd | Social Worker | 1615 69th Ave, Greeley, CO 80634-8661 | 2017-04-07 |
| 1629340328 | Carolyn S Snyder | Social Worker | 2809 39th Ave, Greeley, CO 80634-8356 | 2012-01-27 |
| 1992035489 | Strong Foundations, LLC | Social Worker | 1702 68th Ave, Greeley, CO 80634-8654 | 2010-01-05 |
| 1295958502 | Shirley J Purcell | Social Worker | 4681 W 20th St Unit 202c, Greeley, CO 80634-3217 | 2007-04-11 |
| 1528154200 | Carole Jean Noblitt | Social Worker | 804 11th Avenue, Greeley, CO 80631 | 2006-10-04 |
| 1417973835 | Jennifer Layne Burnett | Social Worker | 1770 25th Ave Ste 200, Greeley, CO 80634-4949 | 2006-07-15 |
| Find all providers in GREELEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.