Revive Counseling Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVIVE COUNSELING ASSOCIATES

Doing business as

Revive Counseling Associates

Practice address

480 Pierce St Ste 108
Kingston, PA 18704-5512

Phone

(570) 262-4788

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Brian Cook, MS, NCC, LPCNPI 1083859185

Title

Member

Phone

(570) 262-4788

Specialties & licenses 1

Addresses

Other names 1

• Revive Counseling Associates Doing business as

Practitioners 1

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

• Brian Cook, NCC, LPC

  • Professional Counselor
  • Kingston, PA
  • NPI 1083859185
  NPD Authorized official

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1821665191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST STE 108",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-262-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST STE 108",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-262-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "570-262-4788",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvey James Reiser, MD
• Kathy Marie Reiser, LPC
• Reliable Heartz LLC Christina Marie Layden Moore
• Carol Marie Rentsch, COTA/L
• Mary Repasky, MS COUNSELING
• Alvaro G Reymunde, M.D
• Richard R. Grossman, D.D.S., P.C.
• Maria C Richards, PSY.D.
• David F Rimple, M.D.
• Jeanne Ann Rinehouse, MD

• Mental Health Counselor in Kingston, PA
• Providers in Kingston, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.