Ulyssa Revolvo

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

21535 Hawthorne Blvd Ste 102
Torrance, CA 90503-6626

Phone

(310) 817-2177

NPI assigned

Sep 16, 2021

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling4Kids, Inc.

  • Community/Behavioral Health Agency
  • Torrance, CA
  • NPI 1467597658
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1427728989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21535 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036626",
            "telephone_number": "310-436-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21535 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036626",
            "telephone_number": "310-817-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOLVO",
        "first_name": "ULYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jo Rettig, LMFT
• Reinald Allen Revilla, PMHNP
• Revive Wellness Center
• Revivex Healthcare Inc (Pacific Pain & Wellness Group)
• Revivex Healthcare Inc (Pacific Pain & Wellness Group)
• Stephanie Rey, STEPHANIE
• Juana Reyes Andrade
• Brenda Reyes Guevara
• Ana Reyes Vaquiz
• Angela Reyes

• Student in an Organized Health Care Education/Training Program in Torrance, CA
• Providers in Torrance, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.