Revive Couples Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1912 Issued in MN

Legal business name

REVIVE COUPLES COUNSELING

Practice address

311 Ramsey St
Suite 205
Saint Paul, MN 55102-2323

Phone

(715) 441-1828

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Cindy Grajkowski, MS ED

Title

LMFT/Owner

Phone

(715) 441-1828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1225328180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S FORK DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RAMSEY ST",
            "address_2": "SUITE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022323",
            "telephone_number": "715-441-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUPLES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "GRAJKOWSKI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "715-441-1828",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad M Reuter, CRNA
• Virginia L Reutiman, CRNA
• Amber Reuvers, PA
• Rachel A Revier, MS CF-SLP
• Revival Care LLC
• Revive MD PLLC
• Reviving Therapy & Consulting LLC
• Patricio F Reyes, M.D.
• Arianna Edith Reyna-Rodriguez
• Sarah Jean Reyna, L.AC.

• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.