Revelations Counseling & Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVELATIONS COUNSELING & WELLNESS

Practice address

6500 Brooktree Rd Ste 210
Wexford, PA 15090-9272

Phone

(724) 719-2669

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Elisabeth Plutko

Title

Coo

Phone

(724) 719-2669

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Genesis Wellness Center, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 8

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

• Stephen Ladislav Hagg, LPC

  • Professional Counselor
  • Wexford, PA
  • NPI 1972329571
  Medicare reassignment Care Compare group NPD
• Emily Annette Heyl, M.ED, LPC, NCC

  • Professional Counselor
  • Wexford, PA
  • NPI 1033561071
  Medicare reassignment Care Compare group NPD
• Elexis Nicole Kozik, RDN, LDN

  • Registered Dietitian
  • Wexford, PA
  • NPI 1790572709

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Madison Lynne Henry, LPC

  • Professional Counselor
  • Wexford, PA
  • NPI 1952247538
  Medicare reassignment NPD
• Carla Addison Higgins, RD

  • Registered Dietitian
  • Canonsburg, PA
  • NPI 1548002355

  Dietitian, Registered

  Medicare reassignment NPD
• Stephanie Lynn Shriver, LPC

  • Professional Counselor
  • Wexford, PA
  • NPI 1245841865
  Medicare reassignment NPD
• Kimberly C Rose, MA, NCC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1376042754
  Medicare reassignment
• Brian Rainey

  • Professional Counselor
  • Wexford, PA
  • NPI 1174351357
  NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1215764550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-719-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-719-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATIONS COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "PLUTKO",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "724-719-2669"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF STATE CORPORATE REGISTRATION",
            "identifier": "13905711",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Wellness Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maria Brooke Rein
• Emily Helen Reisz, MA, CF-SLP
• Resilient You Counseling LLC
• Resoures for Human Development
• Kristin Restori, LPC
• Kailey Margaret Revi, LPC, NCC, MS
• Breana Reynolds
• Madisyn Lynne Reynolds, AUD
• Sam David Reynolds, MD
• Alexis Rhoades, DPT

• 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 Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.