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Organization

Restore Counseling Service

NPI Record: ActivePsychologist — Addiction (Substance Use Disorder)
NPI1225662166
Clinton, Tennessee

Provider's NPPES record last updated: March 1, 2020

Overview

Entity Type
Organization
NPI
1225662166
Primary Specialty
Psychologist — Addiction (Substance Use Disorder)
Practice Location
Clinton, Tennessee
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 2:47 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Primary

    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

    Taxonomy code 103TA0400X
  • Clinic/Center

    Adult Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

    Taxonomy code 261QM0850X
  • Substance Abuse Rehabilitation Facility

    Substance Abuse Treatment, Children

    Residential Treatment Facilities

    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

    Taxonomy code 3245S0500X

Practice Locations

Practice Location

1200 Fowler Ln Apt C8

Clinton, Tennessee 37716-3236

Phone: (865) 770-3662

Other Names

  • Restore Counseling ServiceReported March 1, 2020

Record Information

Enumeration Date
March 1, 2020
Provider's NPPES Record Last Updated
March 1, 2020
Certification Date
March 1, 2020
NPISignal NPPES Dataset
August 2026

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