Revine Care LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

REVINE CARE LLC

Practice address

4849 Fort Ave Ste a
Lynchburg, VA 24502-1509

Phone

(434) 279-3586

Fax

(434) 279-3586

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Nicole Adams, LPCNPI 1902457492

Title

Owner

Phone

(434) 829-1111

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.

• Nicole Adams, LPC

  • Counselor
  • Lynchburg, VA
  • NPI 1902457492
  NPD Authorized official

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1275323263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 FORT AVE STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245021509",
            "telephone_number": "434-279-3586",
            "fax_number": "434-279-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 FORT AVE STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245021509",
            "telephone_number": "434-279-3586",
            "fax_number": "434-279-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-829-1111",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.