Revay Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVAY THERAPY SERVICES LLC

Practice address

105 Revere Dr
Versailles, KY 40383-9381

Phone

(606) 524-1280

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Scarlet Thomas, LCSWNPI 1104329580

Title

Owner

Phone

(606) 524-1280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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

• Scarlet Thomas, LCSW

  • Clinical Social Worker
  • Nicholasville, KY
  • NPI 1104329580
  Medicare reassignment NPD Authorized official
• Kara Newland, CCC-SLP

  • Speech-Language Pathologist
  • Versailles, KY
  • NPI 1285443465

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1710760301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REVERE DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403839381",
            "telephone_number": "606-524-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 REVERE DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403839381",
            "telephone_number": "606-524-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SCARLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-524-1280",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Rayburn, LMFT, LPCC, LPC
• Ralph Frederick Redden, DVM
• Candace Reid
• Remedy Counseling & Management, Inc.
• Resoarces, Inc.
• Revitalize Counseling Services
• Alexandra Lyle Reynolds, OT
• Fatemehalsadat Rezaei
• Martha R Rice, D.M.D.
• Tienna Machelle Rice

• Clinical Social Worker in Versailles, KY
• Providers in Versailles, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.