Revival Therapy & Consulting, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REVIVAL THERAPY & CONSULTING, LLC

Practice address

5034 Kidron Rd Ste 21
Apple Creek, OH 44606-9746

Phone

(330) 429-2157

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Skye Orr, LISW-SNPI 1689345811

Title

Owner/Therapist

Phone

(330) 749-8633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessica S Orr, LISW-S

  • Social Worker
  • Federal Way, WA
  • NPI 1689345811
  NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1346051505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 KIDRON RD STE 21",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069746",
            "telephone_number": "330-429-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 KIDRON RD STE 21",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069746",
            "telephone_number": "330-429-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SKYE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "330-749-8633",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leota M. Hutchison (Country Acres)
• Carleen K Long, LPN
• Molly Offenbecher
• Orrville Hospital Foundation (Dunlap Family Physicians)
• Emily Kaye Petersheim
• Lisa Ann Rumbaugh, M.A., CCC-SLP
• Ruth A Shipley, CNM
• Valerie Shure
• Brittany Sidol
• McKenzie May Springford

• Adult Mental Health Clinic/Center in Apple Creek, OH
• Providers in Apple Creek, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.