OrganizationActive
Revive Relationship Therapy Inc.
NPI 1366965394 · Marriage & Family Therapist · Chicago, IL
Provider details
- NPI number
- 1366965394
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Berry, Owner(312) 714-5168
- License
- 166.01099 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
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
3 documented practice locations
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
1967 N Dayton St
Chicago, IL 60614
Phone: (312) 714-5168
Street-level locationGet directions
Mailing address
1236 W Webster Ave # 1
Chicago, IL 60614-3140
Additional practice locations (2)
- 1952 N Fremont StCoachhouseChicago, IL 60614Phone: (312) 714-5168
- 939 W North Ave Ste 750Chicago, IL 60642-7142Phone: (312) 714-5168
Registry dates
- Enumerated
- 2017-07-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.