Revive 180 LLC
NPI 1568197556 · Professional Counselor · Potosi, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive 180 LLC is a Professional Counselor organization in Potosi, MO (NPI 1568197556).
Provider details
- NPI number
- 1568197556
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christy Pashia, Professional Counselor/Owner(573) 438-9800
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
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
- 2022-07-22
- Last updated
- 2022-12-11
- Certified
- 2022-12-11
Frequently asked questions
- What is Revive 180 LLC's NPI number?
- Revive 180 LLC's National Provider Identifier (NPI) is 1568197556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive 180 LLC?
- Revive 180 LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Revive 180 LLC located?
- Revive 180 LLC's practice location on file with NPPES is 10071 Crescent Rd, Potosi, MO 63664-2040.
- What is Revive 180 LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive 180 LLC is (573) 438-9800.
- Does Revive 180 LLC accept Medicare?
- Revive 180 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 180 LLC?
- The authorized official listed on Revive 180 LLC's NPPES record is Christy Pashia, Professional Counselor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive 180 LLC's NPI active?
- Yes — Revive 180 LLC's NPI (1568197556) is active in the NPPES registry as of the last update on 2022-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.