Kailey Margaret Revi, LPC, NCC, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012180 Issued in PA

Practice address

101 N Meadows Dr # 234
Wexford, PA 15090-8368

Phone

(412) 380-0100

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/myjadewellness/r4/
• Direct secure messaging: kailey@myjadewellness.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jade Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroeville, PA
  • NPI 1487158143
  NPD (past)
• Jade Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroeville, PA
  • NPI 1619291093
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1184257503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S SAINT CLAIR ST APT 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063660",
            "telephone_number": "724-579-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MEADOWS DR # 234",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908368",
            "telephone_number": "412-380-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVI",
        "first_name": "KAILEY",
        "middle_name": "MARGARET",
        "credential": "LPC, NCC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PC012180",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kailey@myjadewellness.com",
            "affiliation": "N",
            "endpointDescription": "agency email",
            "address_1": "101 N Meadows Dr # 234",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Relich, PA-C
• Resilient You Counseling LLC
• Resoures for Human Development
• Kristin Restori, LPC
• Revelations Counseling & Wellness
• Breana Reynolds
• Madisyn Lynne Reynolds, AUD
• Sam David Reynolds, MD
• Alexis Rhoades, DPT
• Marissa Rhodes, PT

• Professional Counselor in Wexford, PA
• Providers in Wexford, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.