Revive Wellness
NPI 1639885171 · Mental Health Clinic/Center (Including Community Mental Health Center) · Crookston, MN
Revive Wellness is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Crookston, MN (NPI 1639885171).
Provider details
- NPI number
- 1639885171
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Shockman, Mental Health Professional(218) 289-7023
Specialties & taxonomies
Ambulatory Health Care Facilities
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
Other names (DBA / former)
- Doing business as
- Jessica Shockman
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Frequently asked questions
- What is Revive Wellness's NPI number?
- Revive Wellness's National Provider Identifier (NPI) is 1639885171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness?
- Revive Wellness is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Revive Wellness located?
- Revive Wellness's practice location on file with NPPES is 116 W Robert St Ste 2b, Crookston, MN 56716-1709.
- What is Revive Wellness's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness is (218) 289-7023.
- Who is the authorized official for Revive Wellness?
- The authorized official listed on Revive Wellness's NPPES record is Jessica Shockman, Mental Health Professional. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness's NPI active?
- Yes — Revive Wellness's NPI (1639885171) is active in the NPPES registry as of the last update on 2023-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.