Revive Counseling, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REVIVE COUNSELING, PLLC

Practice address

225 N Bennett St Ste H
Southern Pines, NC 28387-4810

Phone

(253) 268-9448

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Roilene Williamson, LMFTNPI 1427513829

Title

Owner/Practitioner

Phone

(253) 268-9448

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Roilene Michiko Miyagawa Williamson, LMFTA

  • Marriage & Family Therapist
  • Fayetteville, NC
  • NPI 1427513829
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1083304299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N BENNETT ST STE H",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874810",
            "telephone_number": "253-268-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BENNETT ST STE H",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874810",
            "telephone_number": "253-268-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "ROILENE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "253-268-9448",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Robert Mercier PA (Randall R. Mercier PA)
• Kirsten Brooke Rayner, PT
• America Berenice Reece, FNP-C
• Jacquelynn McLean Reid, LCSW, LCAS
• Renewal Solutions PLLC
• Stephanie Jaimes Reza
• Deborah Kaye Rich, LCSW LPC MAC
• Kenneth Lawrence Ring Jr., D.C.
• Melissa Dunston Risk, LCSW
• Jill R. Roberson, M.D.

• Marriage & Family Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.