Revive Counseling
NPI 1063082840 · Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Counseling is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Madison, AL (NPI 1063082840).
Provider details
- NPI number
- 1063082840
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Dallman, Therapist/Owner(920) 948-4535
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
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
- 2021-06-25
- Last updated
- 2021-06-25
- Certified
- 2021-06-25
Frequently asked questions
- What is Revive Counseling's NPI number?
- Revive Counseling's National Provider Identifier (NPI) is 1063082840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Counseling?
- Revive Counseling is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Revive Counseling located?
- Revive Counseling's practice location on file with NPPES is 9238 Madison Blvd Ste 116, Madison, AL 35758-9112.
- What is Revive Counseling's phone number?
- The practice phone number listed in the NPPES registry for Revive Counseling is (920) 948-4535.
- Does Revive Counseling accept Medicare?
- Revive Counseling 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 Revive Counseling?
- The authorized official listed on Revive Counseling's NPPES record is Amber Dallman, Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Counseling's NPI active?
- Yes — Revive Counseling's NPI (1063082840) is active in the NPPES registry as of the last update on 2021-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.