Revive Recovery NM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REVIVE RECOVERY NM

Practice address

2325 San Pedro Dr NE Ste 2a
Albuquerque, NM 87110-4121

Phone

(505) 785-4737

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Joseph G Vigil, LSAANPI 1821857814

Title

Owner

Phone

(505) 785-4737

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Joseph Glenn Vigil, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
  • NPI 1821857814
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1700630050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 CONEJO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231517",
            "telephone_number": "505-785-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SAN PEDRO DR NE STE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104121",
            "telephone_number": "505-785-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RECOVERY NM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-785-4737",
        "authorized_official_credential": "LSAA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradfield Revelo
• Eric Revels
• Jonathan W Revels, DO
• Revitalized Natural Health Center
• Revive Counseling, LLC
• Revolutionary Therapy LLC
• Rewind Wellness and Aesthetics, LLC (Rwa, LLC)
• Jennifer Jean Rex McNair, LMHC
• Kevin E Rexroad, M.D.
• Daniela Rey Alvarez

• Addiction (Substance Use Disorder) Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.