Revive Therapeutic Counseling Services
NPI 1609503192 · Adult Mental Health Clinic/Center · Waldorf, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1609503192
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Revive Therapeutic Counseling Services
- Organization subpart
- Yes
- Authorized official
- Camille Lewis, Clinical Director(301) 276-1151
Specialties & taxonomies
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Revive Behavioral Health Solutions
- Doing business as
- Revive Wellness
- Doing business as
- Revive Wellness Inc
Additional practice locations (2)
- 515 E Las Olas BlvdFt Lauderdale, FL 33301-2296Phone: (301) 609-2675Fax: (301) 923-1329
- 2800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587Phone: (301) 609-2675Fax: (301) 923-1329
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2026-02-22
- Certified
- 2026-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.