Revive Counseling & Wellness, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REVIVE COUNSELING & WELLNESS, LLC

Practice address

308 Evergreen Rd Ste 140
Louisville, KY 40243-1076

Phone

(502) 632-3282

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Bibb, LCSW, LMFTNPI 1497513162

Title

Ceo, Psychotherapist

Phone

(502) 632-3282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gail Bibb, LMFT, LCSW

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1497513162
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1891556288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 EVERGREEN RD STE 140",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431076",
            "telephone_number": "502-632-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 EVERGREEN RD STE 140",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431076",
            "telephone_number": "502-632-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CEO, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "502-632-3282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Revell, RPH
• Tisa Marie Revels, SA-C, KCSA
• Danielle Revert, APRN
• Lynde Revert, LCSW
• Jaymie Barker Reves, OT
• Revive Wellness L.L.C.
• Robert John Revolt, PTA
• Tasha Revolus
• Yeneisy Reyes Diaz, LMT
• Carlos David Reyes Sarmiento, MD

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.