Restoration Counseling and Support Services, LLC
NPI 1629547989 · Clinical Social Worker · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Restoration Counseling and Support Services, LLC is a Clinical Social Worker organization in Jacksonville, FL (NPI 1629547989).
Provider details
- NPI number
- 1629547989
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kandi Jackson, Owner(904) 453-7970
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2020-11-01
- Certified
- 2020-11-01
Frequently asked questions
- What is Restoration Counseling and Support Services, LLC's NPI number?
- Restoration Counseling and Support Services, LLC's National Provider Identifier (NPI) is 1629547989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Restoration Counseling and Support Services, LLC?
- Restoration Counseling and Support Services, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Restoration Counseling and Support Services, LLC located?
- Restoration Counseling and Support Services, LLC's practice location on file with NPPES is 2255 Dunn Ave Ste 206, Jacksonville, FL 32218-4739.
- What is Restoration Counseling and Support Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Restoration Counseling and Support Services, LLC is (904) 453-7970.
- Does Restoration Counseling and Support Services, LLC accept Medicare?
- Restoration Counseling and Support Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Restoration Counseling and Support Services, LLC?
- The authorized official listed on Restoration Counseling and Support Services, LLC's NPPES record is Kandi Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Restoration Counseling and Support Services, LLC's NPI active?
- Yes — Restoration Counseling and Support Services, LLC's NPI (1629547989) is active in the NPPES registry as of the last update on 2020-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.