NPIMap

Organization Active NPI

Revive Inc

Doing business as Horizon Recovery & Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Hastings, NE
National Provider Identifier
1063646479
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SATC171 Issued in NE
Legal business name
REVIVE INC
Doing business as
Horizon Recovery & Counseling Center
Practice address
835 S Burlington Ave
Ste. 115
Hastings, NE 68901-6960
Phone
(402) 462-2066
Fax
(402) 462-2045
NPI assigned
May 13, 2009
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dan Rutt
Title
Director
Phone
(402) 462-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SATC171 NE Primary

Addresses

Primary practice location

835 S Burlington Ave
Ste. 115
Hastings, NE 68901-6960

Mailing address

835 S Burlington Ave
Ste. 115
Hastings, NE 68901-6960
Phone (402) 462-2066

Other names 1

  • Horizon Recovery & Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

835 S Burlington Ave
Ste 115
Hastings, NE 68901
Phone (402) 462-2066

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1063646479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S BURLINGTON AVE",
            "address_2": "STE. 115",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016960",
            "telephone_number": "402-462-2066",
            "fax_number": "402-462-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S BURLINGTON AVE",
            "address_2": "STE. 115",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016960",
            "telephone_number": "402-462-2066",
            "fax_number": "402-462-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "RUTT",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-462-2066"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "SATC171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Recovery & Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.