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)
Revive Therapeutic Counseling Services is a Adult Mental Health Clinic/Center organization in Waldorf, MD (NPI 1609503192).
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
4 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
Frequently asked questions
- What is Revive Therapeutic Counseling Services's NPI number?
- Revive Therapeutic Counseling Services's National Provider Identifier (NPI) is 1609503192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Therapeutic Counseling Services?
- Revive Therapeutic Counseling Services is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Therapeutic Counseling Services located?
- Revive Therapeutic Counseling Services's practice location on file with NPPES is 2255 Crain Hwy Ste 105, Waldorf, MD 20601-3186.
- What is Revive Therapeutic Counseling Services's phone number?
- The practice phone number listed in the NPPES registry for Revive Therapeutic Counseling Services is (301) 276-1151.
- Does Revive Therapeutic Counseling Services accept Medicare?
- Revive Therapeutic Counseling Services 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 Therapeutic Counseling Services?
- The authorized official listed on Revive Therapeutic Counseling Services's NPPES record is Camille Lewis, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Therapeutic Counseling Services's NPI active?
- Yes — Revive Therapeutic Counseling Services's NPI (1609503192) is active in the NPPES registry as of the last update on 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.