OrganizationActive
Era of Restoration Mental Health Services
NPI 1700530854 · Psychiatric/Mental Health Nurse Practitioner · Lynnwood, WA
Provider details
- NPI number
- 1700530854
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Heather O'Neal, Administrative Manager(425) 670-0280
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
4630 200th St Sw Ste C
Lynnwood, WA 98036-6608
Phone: (425) 670-0280
Fax: (425) 670-0278
Street-level locationGet directions
Mailing address
4630 200th St Sw Ste C
Lynnwood, WA 98036-6608
Other names (DBA / former)
- Doing business as
- Era of Restoration Mental Health Services, LLC
Additional practice locations (2)
- 11900 Ne 1st St Ste 300Bellevue, WA 98005-3049Phone: (425) 670-0280Fax: (425) 670-0278
- 102 23rd Ave Se Ste aPuyallup, WA 98372-4501Phone: (425) 670-0280Fax: (425) 670-0278
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2022-12-23
- Certified
- 2022-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.