NPIMap

Organization Active NPI

Revive Counseling Spokane, PLLC

  • Community/Behavioral Health Agency
  • Spokane, WA
National Provider Identifier
1306321567
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REVIVE COUNSELING SPOKANE, PLLC
Practice address
2222 N Monroe St
Spokane, WA 99205-4545
Phone
(509) 413-2950
Fax
(509) 241-1866
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Authorized official

Name
Ms. Layne E Pavey, LICSWNPI 1225556483
Title
Owner
Phone
(509) 413-2950

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2222 N Monroe St
Spokane, WA 99205-4545

Mailing address

2222 N Monroe St
Spokane, WA 99205-4545
Phone (509) 413-2950

Other practice location 1

701 W 7th Ave Ste 107C
Spokane, WA 99204-2835
Phone (509) 413-2950

Other identifiers 4

IdentifierTypeStateIssuer
1225556483MedicaidWA
1679873368MedicaidWA
1700304920MedicaidWA
2079260MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Revive Counseling Spokane PLLC2 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

701 W 7th Ave
Ste 107C
Spokane, WA 99204
Phone (509) 413-2950

2222 N Monroe St
Spokane, WA 99205
Phone (509) 413-2950

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561161600000",
    "number": "1306321567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054545",
            "telephone_number": "509-413-2950",
            "fax_number": "509-241-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054545",
            "telephone_number": "509-413-2950",
            "fax_number": "509-241-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W 7th Ave Ste 107C",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042835",
            "country_code": "US",
            "telephone_number": "509-413-2950",
            "fax_number": "509-214-1866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE COUNSELING SPOKANE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-06-22",
        "status": "A",
        "authorized_official_last_name": "PAVEY",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-413-2950",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225556483",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679873368",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700304920",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079260",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.