Revitalize Minds Counseling
NPI 1467188664 · Clinical Social Worker · West Memphis, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Minds Counseling is a Clinical Social Worker organization in West Memphis, AR (NPI 1467188664).
Provider details
- NPI number
- 1467188664
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tangella Foreman, Therapist(870) 926-7344
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Additional practice locations (1)
- 927 Bayou Vista DrMarion, AR 72364-5076Phone: (870) 926-7344
Registry dates
- Enumerated
- 2022-07-29
- Last updated
- 2023-01-16
- Certified
- 2022-08-05
Frequently asked questions
- What is Revitalize Minds Counseling's NPI number?
- Revitalize Minds Counseling's National Provider Identifier (NPI) is 1467188664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Minds Counseling?
- Revitalize Minds Counseling is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Revitalize Minds Counseling located?
- Revitalize Minds Counseling's practice location on file with NPPES is 312 N Missouri St Ste 1, West Memphis, AR 72301-3186.
- What is Revitalize Minds Counseling's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Minds Counseling is (870) 796-8997.
- Does Revitalize Minds Counseling accept Medicare?
- Revitalize Minds Counseling 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 Revitalize Minds Counseling?
- The authorized official listed on Revitalize Minds Counseling's NPPES record is Tangella Foreman, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Minds Counseling's NPI active?
- Yes — Revitalize Minds Counseling's NPI (1467188664) is active in the NPPES registry as of the last update on 2023-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.