Robert Lee Revenaugh Jr., LPC, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79008 Issued in TX

Practice address

26003 Pink Myrtle Cir
Richmond, TX 77406-1732

Phone

(281) 734-9072

NPI assigned

Jan 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1699428029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26003 PINK MYRTLE CIR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061732",
            "telephone_number": "281-734-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26003 PINK MYRTLE CIR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061732",
            "telephone_number": "281-734-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVENAUGH",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "LPC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Residential Hospice Inc
• Resilience Integrated Behavioral Health
• Resocare Inc. (Resocare)
• Restore Family Counseling
• Revenaugh Counseling LLC
• Revive Hope Behavioral Healthcare PLLC
• Rexny Healthcare Services
• Jenna Ann Reyes
• Sonica Reyna, RBT, CPR
• Melody M Reynolds, LMT

• Professional Counselor in Richmond, TX
• Providers in Richmond, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.