Revive Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REVIVE MENTAL WELLNESS LLC

Practice address

200 N 23Rd St Ste 106
Boise, ID 83702-4969

Phone

(208) 398-3351

NPI assigned

Nov 8, 2022

Organization subpart

No

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

Authorized official

Name

Jynnah L Schwartzwolf, PMHNPNPI 1437622776

Title

Manager

Phone

(208) 922-8298

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Jynnah Leigh Schwartzwolf, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1437622776
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1326756347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST UNIT 1623",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836805065",
            "telephone_number": "208-398-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 23RD ST STE 106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024969",
            "telephone_number": "208-398-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWOLF",
        "authorized_official_first_name": "JYNNAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-922-8298",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jynnah@revivementalwellness.com",
            "affiliation": "N",
            "address_1": "3370 W Sugar Creek Dr",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836461153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Reuling Furness, M.ED.
• John R Reusser, LCSW
• Kimberley R Reuter, NP
• Revelation Hearing, Inc
• Revive Counseling, LLC
• Revolutionary Medicine of Idaho
• Anastasia Pearl Reyes, PT, DPT, CSCS
• Krystal Reyes, P.T.
• Lorena Aguilar Reyes, OTR/L
• Nicolas Emmanuel Echon Reyes, PA

• Psychiatric/Mental Health Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.