Reviving Therapy & Consulting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVIVING THERAPY & CONSULTING LLC

Practice address

2136 Ford Pkwy
Saint Paul, MN 55116-2850

Phone

(605) 350-5232

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Emmanuel Nwala, PHD, LPCCNPI 1629386883

Title

Licensed Professional Clinical Coun

Phone

(605) 350-5232

Specialties & licenses 1

Addresses

Practitioners 1

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

• Emmanuel Nwala, PHD, LPC

  • Professional Counselor
  • Saint Paul, MN
  • NPI 1629386883
  NPD Authorized official

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1053119446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 CORAL SEA ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496232",
            "telephone_number": "605-350-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "605-350-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVING THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "NWALA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL CLINICAL COUN",
        "authorized_official_telephone_number": "605-350-5232",
        "authorized_official_credential": "PHD, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Reuvers, PA
• Rachel A Revier, MS CF-SLP
• Revival Care LLC
• Revive Couples Counseling
• Revive MD PLLC
• Patricio F Reyes, M.D.
• Arianna Edith Reyna-Rodriguez
• Sarah Jean Reyna, L.AC.
• Reynolds J. Fischbach II, D.D.S., P.a.
• Gregory Homan Reynolds, LICSW, LADC

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.