Revive Ministries Inc

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

REVIVE MINISTRIES INC

Practice address

800 S. Main Street
Suite C.
Nicholasville, KY 40356-1868

Phone

(859) 241-5174

Fax

(859) 305-6004

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Todd Johns

Title

Ceo

Phone

(859) 354-9841

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Revive Life House Outpatient Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Revive Ministries Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Revive Ministries Inc

  • Addiction (Substance Use Disorder) Counselor
  • Nicholasville, KY
  • NPI 1063909067
  NPD tax ID
• Revive Ministries, Inc

  • Substance Abuse Rehabilitation Facility
  • Lexington, KY
  • NPI 1376030262
  NPD tax ID

Locations

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1891370185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. MAIN STREET",
            "address_2": "SUITE C.",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561868",
            "telephone_number": "859-241-5174",
            "fax_number": "859-305-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S. MAIN STREET",
            "address_2": "SUITE C.",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561868",
            "telephone_number": "859-241-5174",
            "fax_number": "859-305-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-354-9841"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100737830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Life House Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Life House Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Robert Revelette, MD
• Revive Ministries Inc
• Revive Ministries Inc
• Revive Ministries Inc
• Revive Ministries Inc
• Revive Ministries Inc
• Benjamin Reynolds, PT, DPT
• Rha Health Services Ky LLC
• Anna Riddle, ARNP
• Nan Riekert, M.S.W., L.C.S.W.

• Addiction (Substance Use Disorder) Psychologist in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Addiction (Substance Use Disorder) Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.