NPIMap

Organization Active NPI

Revitalizing Hope, LLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1821316258
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REVITALIZING HOPE, LLC
Practice address
6003 N Robinson Ave
Suite 101
Oklahoma City, OK 73118-7425
Phone
(405) 831-3202
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Bobby LongNPI 1033440300
Title
President
Phone
(405) 831-3202

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6003 N Robinson Ave
Suite 101
Oklahoma City, OK 73118-7425

Mailing address

PO Box 1250
Guthrie, OK 73044-1250
Phone (405) 831-3202

National Provider Directory

National Provider Directory

Locations

2403 S Division St
Ste C
Guthrie, OK 73044
Phone (405) 260-3441

6003 N Robinson Ave
Ste 101
Oklahoma City, OK 73118
Phone (405) 370-2413

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1821316258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730441250",
            "telephone_number": "405-831-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 N ROBINSON AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187425",
            "telephone_number": "405-831-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZING HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-831-3202"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.