Organization Active NPI

Reviving Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
National Provider Identifier
1669856514
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP08162 Issued in LA
Legal business name
REVIVING MINDS LLC
Practice address
70493 Highway 21 Ste 500
Covington, LA 70433-7017
Phone
(985) 750-1534
Fax
(985) 790-7090
NPI assigned
Jul 9, 2015
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Kela Spikes Bickham, NPNPI 1578953139
Title
Owner/Nurse Practitioner
Phone
(985) 750-1534

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08162 LA Primary

Addresses

Primary practice location

70493 Highway 21 Ste 500
Covington, LA 70433-7017

Mailing address

70380 Highway 21 Ste 2
Covington, LA 70433-8128
Phone (985) 750-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180921002587 LA Part B Supplier - Clinic/Group Practice 3870844368 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA
O20240806003273 MS Part B Supplier - Clinic/Group Practice 3870844368 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Locations

112 Innwood Dr
Ste H
Covington, LA 70433
Phone (985) 893-0693

70493 Highway 21
Ste 500
Covington, LA 70433
Phone (985) 750-1534

180C Debuys Rd
Biloxi, MS 39531
Phone (228) 388-0600

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": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1669856514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70380 HIGHWAY 21 STE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338128",
            "telephone_number": "985-750-1534",
            "fax_number": "985-790-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70493 HIGHWAY 21 STE 500",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337017",
            "telephone_number": "985-750-1534",
            "fax_number": "985-790-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SPIKES BICKHAM",
        "authorized_official_first_name": "KELA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "985-750-1534",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.