Orange County Revive Services, Inc.
NPI 1306543962 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lake Forest, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orange County Revive Services, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Lake Forest, CA (NPI 1306543962).
Provider details
- NPI number
- 1306543962
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Orange County Revive Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Tyler Michaelis, Ceo(949) 606-4681
Specialties & taxonomies
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-02-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-14
Frequently asked questions
- What is Orange County Revive Services, Inc.'s NPI number?
- Orange County Revive Services, Inc.'s National Provider Identifier (NPI) is 1306543962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orange County Revive Services, Inc.?
- Orange County Revive Services, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Orange County Revive Services, Inc. located?
- Orange County Revive Services, Inc.'s practice location on file with NPPES is 23726 Birtcher Dr, Lake Forest, CA 92630-1771.
- What is Orange County Revive Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Orange County Revive Services, Inc. is (949) 606-4681.
- Does Orange County Revive Services, Inc. accept Medicare?
- Orange County Revive Services, 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 Orange County Revive Services, Inc.?
- The authorized official listed on Orange County Revive Services, Inc.'s NPPES record is Tyler Michaelis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orange County Revive Services, Inc.'s NPI active?
- Yes — Orange County Revive Services, Inc.'s NPI (1306543962) is active in the NPPES registry as of the last update on 2023-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.