Organization Active NPI

Raise and Revive Counseling Services

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1477468379
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
RAISE AND REVIVE COMMUNITY GARDEN, NFPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Ms. Crystal N White, LPCNPI 1285150904
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.