Organization Active NPI

Revitalize Counseling

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1427948504
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REVITALIZE COUNSELING
Practice address
10491 Ben C Pratt/6 Mile Cypress Pkwy Ste 250
Fort Myers, FL 33966-6514
Phone
(239) 896-6984
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Chelsea Pigeon, MA, LMHCNPI 1760004964
Title
Owner, Clinician
Phone
(239) 896-6984

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

10491 Ben C Pratt/6 Mile Cypress Pkwy Ste 250
Fort Myers, FL 33966-6514

Mailing address

10491 Ben C Pratt/6 Mile Cypress Pkwy Ste 250
Fort Myers, FL 33966-6514
Phone (239) 896-6984

National Provider Directory

National Provider Directory

Locations

10491 Ben C Pratt/6 Mile Cypress Pkwy
Ste 250
Fort Myers, FL 33966
Phone (239) 896-6984

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1427948504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10491 BEN C PRATT/6 MILE CYPRESS PKWY STE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666514",
            "telephone_number": "239-896-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10491 BEN C PRATT/6 MILE CYPRESS PKWY STE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666514",
            "telephone_number": "239-896-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "PIGEON",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "239-896-6984",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.