Revive Neurofeedback Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REVIVE NEUROFEEDBACK INC

Practice address

2620 River Rd Ste E
Eugene, OR 97404-5013

Phone

(541) 606-9947

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Alissa Prieb, LPCNPI 1174030779

Title

Operations Officer

Phone

(541) 606-9947

Specialties & licenses 1

Addresses

Other names 1

• Revive Neurofeedback Former legal business name

Practitioners 1

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

• Alissa Prieb

  • Professional Counselor
  • Eugene, OR
  • NPI 1174030779
  NPD Authorized official

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1902604531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 RIVER RD STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045013",
            "telephone_number": "541-606-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 RIVER RD STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045013",
            "telephone_number": "541-606-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE NEUROFEEDBACK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "PRIEB",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "541-606-9947",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Neurofeedback",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Natasha Irene Reulet Crow, MA, NCC, LPC
• Linda Anne Reuteler
• Reveille Foundation
• Savannah Revetta
• Paul Revis
• Carol Rexius
• Carolyn Ann Rexius, LCSW
• Patricia Isela Reyes Garcia
• Alexandra Chantal Reyes, MSW
• Elena Juanita Reyes

• Clinical Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.