Revive Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVIVE COUNSELING SERVICES LLC

Practice address

3704 La Marada Way
Klamath Falls, OR 97603-7632

Phone

(541) 205-9226

NPI assigned

Nov 8, 2024

Last updated

Jan 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Marie Karrle, CSWANPI 1063976900

Title

Clinician

Phone

(541) 205-9226

Specialties & licenses 1

Addresses

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.

• Tina Marie Karrle

  • Mental Health Counselor
  • Klamath Falls, OR
  • NPI 1063976900

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1689498412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 LA MARADA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037632",
            "telephone_number": "541-205-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 LA MARADA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037632",
            "telephone_number": "541-205-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "KARRLE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "541-205-9226",
        "authorized_official_credential": "CSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Charles Renie, DMD
• Teresa Ann Rennick, PMHNP
• Diane Kathleen Restrepo, MSW
• Janay Revak
• Monica Revak, LPC., CADCII
• Devon L Reyes, LMT
• Ladonna Darlene Reyka, FNP-C
• Andora N Reynolds, PSS/CRM
• Anjelene Reynolds
• Marcia Joyce Reynolds, LCSW

• Clinical Social Worker in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.