MEDICARE: RESTORING HOPE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053276071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORING HOPE COUNSELING LLC

Provider Business Mailing Address
First Line	:	1721 E OSAGE RD STE 100
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-2198
Country	:	US
Telephone Number	:	316-247-3161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1721 E OSAGE RD STE 300
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-2290
Country	:	US
Telephone Number	:	316-247-3161
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIRANDA MCDONALD
Credential	:	LCPC
Telephone Number	:	785-340-2024

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	03/18/2026

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Directions to “RESTORING HOPE COUNSELING LLC ” Practice Location

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