Psych Revival Therapy LLC
NPI 1184447955 · Clinical Social Worker · Springfield, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psych Revival Therapy LLC is a Clinical Social Worker organization in Springfield, MO (NPI 1184447955).
Provider details
- NPI number
- 1184447955
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nichole Sprowso, Ceo(970) 208-7791
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-11-01
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Frequently asked questions
- What is Psych Revival Therapy LLC's NPI number?
- Psych Revival Therapy LLC's National Provider Identifier (NPI) is 1184447955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psych Revival Therapy LLC?
- Psych Revival Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Psych Revival Therapy LLC located?
- Psych Revival Therapy LLC's practice location on file with NPPES is 1675 E Seminole St, Springfield, MO 65804-2490.
- What is Psych Revival Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Psych Revival Therapy LLC is (970) 208-7791.
- Does Psych Revival Therapy LLC accept Medicare?
- Psych Revival Therapy LLC 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 Psych Revival Therapy LLC?
- The authorized official listed on Psych Revival Therapy LLC's NPPES record is Nichole Sprowso, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psych Revival Therapy LLC's NPI active?
- Yes — Psych Revival Therapy LLC's NPI (1184447955) is active in the NPPES registry as of the last update on 2024-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.