REVIVAL COUNSELING & RECOVERY (NPI# 1255941811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255941811 |
| Entity Type | Organization |
| Organization Name | REVIVAL COUNSELING & RECOVERY |
| Practice Address |
205 S 4th St Ste C6 Manhattan KS 66502-6168 |
| Mailing Address |
1300 Frontier Ln Manhattan KS 66503-2516 |
| Practice Telephone | 7855799199 |
| Mailing Telephone | 9188941072 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | CATHIE BEAR (OWNER) |
| Authorized Official Telephone | 9188941072 |
| Authorized Official Credential | LMAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
205 S 4TH ST STE C6 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-6168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063681625 | Trinity Services Inc. | Clinic/Center | 27655 S Gougar Rd, Manhattan, IL 60442-9309 | 2008-02-27 |
| 1417567355 | Jessica Manny-flynn, LLC | Clinic/Center | 323 Poyntz Ave Ste 203, Manhattan, KS 66502-6304 | 2020-08-05 |
| 1518165778 | Pawnee Mental Hlth Services | Clinic/Center | 2001 Claflin Rd, Manhattan, KS 66502-3415 | 2007-07-10 |
| 1326246588 | Pawnee Mental Health Services | Clinic/Center | 2001 Claflin Rd, Manhattan, KS 66502-3415 | 2007-07-10 |
| 1275580524 | Pawnee Mental Health Service, Inc. | Clinic/Center | 2001 Claflin Rd, Manhattan, KS 66502-3415 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251429 | Sent, Inc. | Clinic/Center | 455 Se Golf Park Blvd Ste 121, Topeka, KS 66605-2862 | 2020-09-23 |
| 1922614122 | Meier Clinics of Colorado, P.C. | Clinic/Center | 902 W. Old Highway 24, Goodland, KS 67735 | 2020-09-22 |
| 1942826003 | Courage Counseling LLC | Clinic/Center | 729 1/2 Massachusetts St Ste 214, Lawrence, KS 66044-2257 | 2020-06-24 |
| 1225669377 | Meas LLC | Clinic/Center | 9516 Lowell Ave, Overland Park, KS 66212-3301 | 2020-01-28 |
| 1316577497 | Sense of Self Therapy LLC | Clinic/Center | 10100 W 87th St Ste 118, Overland Park, KS 66212-4628 | 2020-01-17 |
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1467939124 | Alleviation Behavioral Health Care, LLC | Clinic/Center | 4123b Sw Twilight Dr, Topeka, KS 66614-3403 | 2018-07-25 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.