Reviving Wellness and Mental Health, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVIVING WELLNESS AND MENTAL HEALTH, PLLC

Practice address

1109 Gum Branch Rd Ste 100
Jacksonville, NC 28540-5742

Phone

(252) 424-4886

Fax

(252) 417-7968

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Gina Marie Zotz, LCSWNPI 1356862718

Title

Owner and Lead Clinician

Phone

(252) 424-4886

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Gina Marie Zotz, LCSW

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1356862718
  NPD Authorized official
• Claire Wolford

  • Mental Health Counselor
  • Jacksonville, NC
  • NPI 1649185570
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1508613282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 GUM BRANCH RD STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405742",
            "telephone_number": "252-424-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GUM BRANCH RD STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405742",
            "telephone_number": "252-424-4886",
            "fax_number": "252-417-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVING WELLNESS AND MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ZOTZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER AND LEAD CLINICIAN",
        "authorized_official_telephone_number": "252-424-4886",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Reine, CNM
• Amanda Reiter, LCSW
• Erica Lynn Ann Reiter, SFIDC
• Reliable Prosthetics and Orthotics LLC
• Resolutions Counseling and Mediation Services, PLLC
• Kayriz Reyes Rodriguez
• Jenna Hilton Reynolds, BCBA
• Rha Behavioral Health NC LLC
• Rha Behavioral Health NC LLC
• Rha Health Services Inc

• Clinical Social Worker in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.