Revitalize Consulting Group, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVITALIZE CONSULTING GROUP, INC.

Doing business as

Revitalize Counseling Center

Practice address

202 S Midland Blvd
Nampa, ID 83686-2602

Phone

(208) 977-3077

NPI assigned

Jul 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura L Sander, LPCNPI 1699392720

Title

President/Owner

Phone

(208) 997-3077

Specialties & licenses 1

Addresses

Other names 1

• Revitalize Counseling Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura L Sander, LPC

  • Professional Counselor
  • Nampa, ID
  • NPI 1699392720
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1013535145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862602",
            "telephone_number": "208-997-3077",
            "fax_number": "208-997-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862602",
            "telephone_number": "208-977-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE CONSULTING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "208-997-3077",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revitalize Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Res-Care Washington, Inc.
• Rescare Washington Inc
• Resilient Connections Counseling PLLC
• Resilient Mental Health LLC
• Resilient Transport LLC
• Jorge Domingo Reyes, MS
• John Reyna, LCPC
• Kathryn C Reynolds, PHARMD
• Willow Bryn Reynolds, LMSW
• Rhythm & Grace Counseling

• Professional Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.