Active NPI
Raise and Revive Counseling Services
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1477468379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RAISE AND REVIVE COUNSELING SERVICES
- Practice address
- 2828 N Central Ave Ste 1000
Phoenix, AZ 85004-1027 - Phone
- (785) 861-0404
- Fax
- (785) 861-0404
- NPI assigned
- Aug 17, 2026
- Last updated
- Aug 17, 2026
- Organization subpart
- Yes
- Parent organization
- RAISE AND REVIVE COMMUNITY GARDEN, NFP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Crystal N White, LPC
- Title
- Licensed Professional Counselor
- Phone
- (785) 861-0404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2828 N Central Ave Ste 1000
Phoenix, AZ 85004-1027
Mailing address
2828 N Central Ave Ste 1000
Phoenix, AZ 85004-1027
Phone (785) 861-0404
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Goodyear, AZ
- NPI 1285150904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1477468379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N CENTRAL AVE STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041027",
"telephone_number": "785-861-0404",
"fax_number": "785-861-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N CENTRAL AVE STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041027",
"telephone_number": "785-861-0404",
"fax_number": "785-861-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAISE AND REVIVE COUNSELING SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RAISE AND REVIVE COMMUNITY GARDEN, NFP",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "785-861-0404",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.