Revive Ministries Inc
NPI 1063909067 · Addiction (Substance Use Disorder) Counselor · Nicholasville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Ministries Inc is a Addiction (Substance Use Disorder) Counselor organization in Nicholasville, KY (NPI 1063909067).
Provider details
- NPI number
- 1063909067
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Todd Johns, Ceo(859) 354-9841
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-04-16
- Last updated
- 2022-11-23
- Certified
- 2022-11-23
Frequently asked questions
- What is Revive Ministries Inc's NPI number?
- Revive Ministries Inc's National Provider Identifier (NPI) is 1063909067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Ministries Inc?
- Revive Ministries Inc is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Revive Ministries Inc located?
- Revive Ministries Inc's practice location on file with NPPES is 111 Coconut Grove Drive, Nicholasville, KY 40356-2321.
- What is Revive Ministries Inc's phone number?
- The practice phone number listed in the NPPES registry for Revive Ministries Inc is (859) 881-4505.
- Does Revive Ministries Inc accept Medicare?
- Revive Ministries Inc 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 Ministries Inc?
- The authorized official listed on Revive Ministries Inc's NPPES record is Todd Johns, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Ministries Inc's NPI active?
- Yes — Revive Ministries Inc's NPI (1063909067) is active in the NPPES registry as of the last update on 2022-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.