James Revels

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2426 Issued in NC

Practice address

1340 H Patton Avenue
Asheville, NC 28806

Phone

(828) 252-4980

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• October Road Inc

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1376389940
  NPD
• October Road Inc.

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1144375767
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871655852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 WILKESBORO BLVD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 H PATTON AVENUE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28806",
            "telephone_number": "828-252-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102489",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restorative Roots Counseling PLLC
• Restorative Therapeutics & Bodywork, LLC
• Resurgence Physical Therapy
• Morgan Rettig
• Rev Therapy
• Tanner Keith Revis, PT
• Revive, PLLC
• Revolution Access LLC (Reliable Medical Supply)
• Michael T Rey, M.D.
• Eduardo A Reyes Bruno, MD

• Mental Health Counselor in Asheville, NC
• Providers in Asheville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.