Revival Therapy & Wellness Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVIVAL THERAPY & WELLNESS INC

Practice address

159 N Sangamon St Ste 200
Chicago, IL 60607-2201

Phone

(312) 487-1179

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Megan Escutia, LPC, LCPCNPI 1205482379

Title

Psychotherapist

Phone

(773) 562-6989

Specialties & licenses 1

Addresses

Other names 2

• Megan Escutia Therapy Doing business as
• Megan Escutia, LPC, LCPC Doing business as

Locations

Practitioners 1

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

• Megan Escutia, LPC, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1205482379
  NPD Authorized official

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1922734342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 TENNYSON ST UNIT 12451",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802124418",
            "telephone_number": "312-487-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N SANGAMON ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072201",
            "telephone_number": "312-487-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Wacker Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606064421",
            "country_code": "US",
            "telephone_number": "312-487-1179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Tennyson St Unit 12451",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802124418",
            "country_code": "US",
            "telephone_number": "312-487-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "ESCUTIA",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-562-6989",
        "authorized_official_credential": "LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Megan Escutia Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Megan Escutia, LPC, LCPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Gabriel Revery
• Cassidy Reves-Sohn
• Yelena M Revich, D.D.S.
• Revital Chiropractic & Wellness PLLC
• Revitalize IV Solutions, LLC
• Revive Chiropractic
• Revive Relationship Therapy Inc.
• Gadi Asher Revivo, D.O.
• Revolution Counseling and Wellness LLC
• Revolution Health Systems

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.