ANGELA CLESHETTE REVIS LCMHC-A
NPI 1003741570
Counselor - Mental Health in Winterville, NC

Active since June 16, 2026
3950 VICTORY LN BLDG 3, WINTERVILLE, NC 28590(252) 355-2801(252) 355-4708 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angela Cleshette Revis Lcmhc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA CLESHETTE REVIS LCMHC-A (NPI 1003741570) is an individual mental health provider in Winterville, North Carolina, licensed in North Carolina (A22560) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1003741570
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA CLESHETTE REVISCredential: LCMHC-A
Location Address3950 VICTORY LN BLDG 3Winterville, NC 28590-9222
Mailing Address3950 Victory Ln Bldg 3Winterville, NC 28590-9222 · (252) 355-2801 · Fax (252) 355-4708
Fax(252) 355-4708
Sole ProprietorNo
Enumeration DateJune 16, 2026
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1003741570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A22560
3950 VICTORY LN BLDG 3, Winterville, NC 28590

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3950 VICTORY LN BLDG 3
WINTERVILLE, NC 28590
Counselor (Mental Health)
3950 VICTORY LN BLDG 3
WINTERVILLE, NC 28590
Social Worker (Clinical)
3950 VICTORY LN BLDG 3
WINTERVILLE, NC 28590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Revis's NPI number?

The NPI number for Angela Revis is 1003741570. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Angela Revis located?

Angela Revis practices at 3950 Victory Ln Bldg 3, Winterville, NC 28590. The listed phone number is (252) 355-2801.

What is Angela Revis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Angela Revis was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.