Revitalize Counseling & Consultation Services
NPI 1053195263 · Mental Health Clinic/Center (Including Community Mental Health Center) · Dyersburg, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Counseling & Consultation Services is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Dyersburg, TN (NPI 1053195263).
Provider details
- NPI number
- 1053195263
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Murphy, President(901) 569-2823
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- Prison Health Clinic/Center261QP2400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-08-21
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Frequently asked questions
- What is Revitalize Counseling & Consultation Services's NPI number?
- Revitalize Counseling & Consultation Services's National Provider Identifier (NPI) is 1053195263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Counseling & Consultation Services?
- Revitalize Counseling & Consultation Services is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Revitalize Counseling & Consultation Services located?
- Revitalize Counseling & Consultation Services's practice location on file with NPPES is 610 Isaac Hayes Dr., Dyersburg, TN 38024.
- What is Revitalize Counseling & Consultation Services's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Counseling & Consultation Services is (901) 569-2823.
- Does Revitalize Counseling & Consultation Services accept Medicare?
- Revitalize Counseling & Consultation Services 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 Revitalize Counseling & Consultation Services?
- The authorized official listed on Revitalize Counseling & Consultation Services's NPPES record is Steven Murphy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Counseling & Consultation Services's NPI active?
- Yes — Revitalize Counseling & Consultation Services's NPI (1053195263) is active in the NPPES registry as of the last update on 2024-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.