Revital Path Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVITAL PATH COUNSELING LLC

Practice address

24425 Holly Dr
Plaquemine, LA 70764-3874

Phone

(225) 776-7156

NPI assigned

Jul 21, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobbi Jordan, LPC,NCCNPI 1003524778

Title

Owner/Therapist

Phone

(225) 776-7156

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobbi Jordan, LPC

  • Professional Counselor
  • Denham Springs, LA
  • NPI 1003524778

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1275425456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707650084",
            "telephone_number": "225-776-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24425 HOLLY DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643874",
            "telephone_number": "225-776-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITAL PATH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "225-776-7156",
        "authorized_official_credential": "LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.