Revival Road Therapy PLLC
NPI 1518716992 · Clinical Social Worker · Bloomington, IL
Revival Road Therapy PLLC is a Clinical Social Worker organization in Bloomington, IL (NPI 1518716992).
Provider details
- NPI number
- 1518716992
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alexis Frantzen Crawford, Owner/Therapist(309) 204-6260
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
2 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
Other names (DBA / former)
- Former legal business name
- Revival Road Therapy LLC
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-05-16
- Certified
- 2024-05-10
Frequently asked questions
- What is Revival Road Therapy PLLC's NPI number?
- Revival Road Therapy PLLC's National Provider Identifier (NPI) is 1518716992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Road Therapy PLLC?
- Revival Road Therapy PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Revival Road Therapy PLLC located?
- Revival Road Therapy PLLC's practice location on file with NPPES is 121 N Main St Ste 201, Bloomington, IL 61701-7619.
- What is Revival Road Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Road Therapy PLLC is (309) 204-6260.
- Who is the authorized official for Revival Road Therapy PLLC?
- The authorized official listed on Revival Road Therapy PLLC's NPPES record is Alexis Frantzen Crawford, Owner/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Road Therapy PLLC's NPI active?
- Yes — Revival Road Therapy PLLC's NPI (1518716992) is active in the NPPES registry as of the last update on 2024-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.