Revive Recovery Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REVIVE RECOVERY CENTER

Practice address

490 Piney Forest Rd
Danville, VA 24540-4060

Phone

(434) 728-2641

Fax

(434) 797-1096

NPI assigned

Jun 17, 2026

Organization subpart

No

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

Authorized official

Name

Kimberly Harper Gibson, GIBSON

Title

Ceo/Owner

Phone

(434) 728-2641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1154256352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404060",
            "telephone_number": "434-728-2641",
            "fax_number": "434-797-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404060",
            "telephone_number": "434-728-2641",
            "fax_number": "434-797-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "434-728-2641",
        "authorized_official_credential": "GIBSON"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group of the South, Inc.
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• Renewlife Recovery LLC
• Restorative Health and Integrated Medicine PLLC
• Haley Rhoads, RD
• Diamond Alexi Richardson
• Jennifer Paige Richardson, LNP
• Kasey Lynn Richardson, PHARMD
• Lisa S Richardson, AU.D.

• Addiction (Substance Use Disorder) Counselor in Danville, VA
• Providers in Danville, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.