CONNECT AND RESTORE THERAPY, LLC
NPI 1699565721
Social Worker - Clinical in Tyler, TX

Q: What is Connect And Restore Therapy, LLC's NPI number?

The NPI number for Connect And Restore Therapy, LLC is 1699565721. It was assigned to this organization in the NPPES registry on May 12, 2025.

Q: What is Connect And Restore Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 12, 2025

10306 NOLAN DR, TYLER, TX 75709(903) 200-9540 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Connect And Restore Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECT AND RESTORE THERAPY, LLC (NPI 1699565721) is a healthcare organization registered as a clinical in Tyler, Texas and active in the NPI registry since May 2025. The organization lists Stacy Huddleston, Owner, as its authorized official.

NPPES Registry Identity

NPI1699565721

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCONNECT AND RESTORE THERAPY, LLC

Location Address10306 NOLAN DRTyler, TX 75709-4512

Mailing Address10306 Nolan DrTyler, TX 75709-4512 · (903) 200-9540

Phone(903) 200-9540

Organization SubpartNo

Authorized OfficialStacy HuddlestonOwner · (903) 200-9540

Enumeration DateMay 12, 2025

NPPES CertifiedMay 12, 2025

✔ NPI 1699565721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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.

10306 NOLAN DR, Tyler, TX 75709

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connect And Restore Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Connect And Restore Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stacy Huddleston, LCSW

Clinical Social Worker

NPI 1255121356

10306 NOLAN DR
Tyler, TX 75709

(903) 200-9540

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connect And Restore Therapy, LLC's NPI number?

The NPI number for Connect And Restore Therapy, LLC is 1699565721. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Connect And Restore Therapy, LLC located?

Connect And Restore Therapy, LLC is located at 10306 Nolan Dr, Tyler, TX 75709. The listed phone number is (903) 200-9540.

What is Connect And Restore Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Connect And Restore Therapy, LLC enrolled in Medicare?

Yes. Connect And Restore Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connect And Restore Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Connect And Restore Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Connect And Restore Therapy, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Connect And Restore Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connect And Restore Therapy, LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.