REVITALIZE COUNSELING SERVICES
NPI 1013476639
Clinic/Center - Mental Health (Including Community Mental Health Center) in Versailles, KY

Active since March 13, 2019
460 WILSON AVE, VERSAILLES, KY 40383(859) 753-6626(859) 787-0552 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revitalize Counseling Services NPPES

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

REVITALIZE COUNSELING SERVICES (NPI 1013476639) is a healthcare organization registered as a mental health (including community mental health center) in Versailles, Kentucky and active in the NPI registry since March 2019. The organization maintains a secondary practice location in Versailles and lists Alyssa Vitali, Director, as its authorized official.

NPPES Registry Identity

NPI1013476639
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameREVITALIZE COUNSELING SERVICES
Location Address460 WILSON AVEVersailles, KY 40383-1947
Mailing Address411 Ryne CtVersailles, KY 40383-1390
Fax(859) 787-0552
Organization SubpartNo
Authorized OfficialAlyssa VitaliDirector · (859) 753-0754
Enumeration DateMarch 13, 2019
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1013476639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
460 WILSON AVE, Versailles, KY 40383

Secondary Practice Location 1

Location 1411 Ryne CtVersailles, KY 40383-1390 · Phone (859) 753-6626

Other Providers at the Same Location NPPES 11

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

Physician Assistant
460 WILSON AVE
VERSAILLES, KY 40383
Counselor (Professional)
460 WILSON AVE
VERSAILLES, KY 40383
Physician Assistant
460 WILSON AVE
VERSAILLES, KY 40383
Counselor (Mental Health)
460 WILSON AVE
VERSAILLES, KY 40383
Family Medicine
460 WILSON AVE, FIRST FLOOR
VERSAILLES, KY 40383
Physician Assistant (Medical)
460 WILSON AVE
VERSAILLES, KY 40383
Counselor (Mental Health)
460 WILSON AVE
VERSAILLES, KY 40383
Physician Assistant
460 WILSON AVE, FIRST FLOOR
VERSAILLES, KY 40383

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 Revitalize Counseling Services's NPI number?

The NPI number for Revitalize Counseling Services is 1013476639. It was assigned to this organization in the NPPES registry on March 13, 2019.

Where is Revitalize Counseling Services located?

Revitalize Counseling Services is located at 460 Wilson Ave, Versailles, KY 40383. The listed phone number is (859) 753-6626.

What is Revitalize Counseling Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Revitalize Counseling Services was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.