Active NPI
Yvette Revils
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1881267912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0704013125
- Practice address
- 441 Indian Summer LN
Virginia Beach, VA 23462-1834 - Phone
- (757) 617-1748
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704013125 | VA | Primary |
Addresses
Primary practice location
441 Indian Summer LN
Virginia Beach, VA 23462-1834
Mailing address
441 Indian Summer LN
Virginia Beach, VA 23462-1834
Phone (757) 617-1748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4897 Bennetts Pasture Rd
Unit 5354
Suffolk, VA 23435-1362
Phone (888) 663-2475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704013125 | VA | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Suffolk, VA
- NPI 1619527645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1881267912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 INDIAN SUMMER LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621834",
"telephone_number": "757-617-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 INDIAN SUMMER LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621834",
"telephone_number": "757-617-1748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVILS",
"first_name": "YVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0704013125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.