Revive & Thrive Mental Health, LLC
NPI 1356003628 · Psychiatric/Mental Health Nurse Practitioner · Wichita, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive & Thrive Mental Health, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Wichita, KS (NPI 1356003628).
Provider details
- NPI number
- 1356003628
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Evangeline Newsom, Owner(316) 201-6294
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
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
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
- 2021-10-13
- Last updated
- 2024-07-07
- Certified
- 2024-07-07
Frequently asked questions
- What is Revive & Thrive Mental Health, LLC's NPI number?
- Revive & Thrive Mental Health, LLC's National Provider Identifier (NPI) is 1356003628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive & Thrive Mental Health, LLC?
- Revive & Thrive Mental Health, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive & Thrive Mental Health, LLC located?
- Revive & Thrive Mental Health, LLC's practice location on file with NPPES is 4013 N Ridge Rd Ste 110, Wichita, KS 67205-8859.
- What is Revive & Thrive Mental Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive & Thrive Mental Health, LLC is (316) 631-2454.
- Does Revive & Thrive Mental Health, LLC accept Medicare?
- Revive & Thrive Mental Health, 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 Revive & Thrive Mental Health, LLC?
- The authorized official listed on Revive & Thrive Mental Health, LLC's NPPES record is Evangeline Newsom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive & Thrive Mental Health, LLC's NPI active?
- Yes — Revive & Thrive Mental Health, LLC's NPI (1356003628) is active in the NPPES registry as of the last update on 2024-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.