NPIMap

Organization Active NPI

Revive Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danvers, MA
National Provider Identifier
1295470102
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REVIVE COUNSELING SERVICES LLC
Practice address
435 Newbury St Ste 222
Danvers, MA 01923-1065
Phone
(978) 242-7901
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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

Authorized official

Name
Haily Lyons, LMHCNPI 1902271679
Title
Owner
Phone
(978) 242-7901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

435 Newbury St Ste 222
Danvers, MA 01923-1065

Mailing address

225 Main St
Boxford, MA 01921-2222
Phone (978) 818-3965

Other practice location 1

225 Main St
Boxford, MA 01921-2222
Phone (978) 242-7901

Other names 1

  • Revive Counseling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Revive Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 Newbury St
Ste 222
Danvers, MA 01923
Phone (978) 242-7901

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1295470102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019212222",
            "telephone_number": "978-818-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEWBURY ST STE 222",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231065",
            "telephone_number": "978-242-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Main St",
            "address_purpose": "LOCATION",
            "city": "Boxford",
            "state": "MA",
            "postal_code": "019212222",
            "country_code": "US",
            "telephone_number": "978-242-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "HAILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-242-7901",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.