Revive Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVIVE COUNSELING LLC

Practice address

399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848

Phone

(561) 843-2548

NPI assigned

Sep 13, 2021

Organization subpart

Yes

Parent organization

REVIVE COUNSELING LLCAs reported in NPPES

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

Authorized official

Name

Arianna Fernandez, LMHCNPI 1043648413

Title

Owner/Therapist

Phone

(954) 279-6324

Specialties & licenses 1

Addresses

Other names 1

• REVIVE COUNSELING LLC Former legal business name

Part of

Revive Counseling LLC

Practitioners 1

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

• Arianna Fernandez, MS, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1043648413
  NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1306515317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE STE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323848",
            "telephone_number": "561-843-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE STE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323848",
            "telephone_number": "561-843-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVIVE COUNSELING LLC",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ARIANNA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "954-279-6324",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE COUNSELING LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.