Revive Hope & Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVIVE HOPE & WELLNESS LLC

Practice address

101 Pierpoint Road
Waterbury, CT 06705

Phone

(203) 508-5069

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venesa Shanique WhiteNPI 1710667928

Title

Owner

Phone

(203) 508-5069

Specialties & licenses 1

Addresses

Tax ID family

Revive Hope Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revive Hope & Wellness LLC

  • Mental Health Counselor
  • Waterbury, CT
  • NPI 1295644367
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venesa Shanique White

  • Mental Health Counselor
  • Waterbury, CT
  • NPI 1710667928
  Authorized official Same address or phone

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1063316099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 STRAITS TPKE STE 3",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PIERPOINT ROAD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-508-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HOPE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VENESA",
        "authorized_official_middle_name": "SHANIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-508-5069"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restart Health and Wellness LLC
• Rebecca Restituyo, BS
• Frank Restivo, OD
• Blake Reuter, LPC
• Madeline Francis Revere, APRN
• Revive Hope & Wellness LLC
• Cassandra Megan Reyes, LCSW
• Josephine Reyes, MSW,BSW
• Lydia S Reyes, LCSW
• Maximina Reyes

• Mental Health Counselor in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.