Revive Counseling Family Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REVIVE COUNSELING FAMILY SERVICES

Practice address

1265 Dainty Ave
Brentwood, CA 94513-1211

Phone

(925) 208-9766

NPI assigned

May 3, 2022

Last updated

May 3, 2022By 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

Muyiwa Oshewa

Title

Secretary

Phone

(925) 275-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1962147975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-275-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 DAINTY AVE",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131211",
            "telephone_number": "925-208-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "OSHEWA",
        "authorized_official_first_name": "MUYIWA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "925-275-1600"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.