JESSICA ANN REVELS M.ED., M.A., LPCA
NPI 1043780778
Counselor - Professional in Durham, NC

Active since November 26, 2018
1415 WEST NORTH CAROLINA 54, BUILDING 100 SUITE # 204, DURHAM, NC 27707(919) 308-6039 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Ann Revels M.ed., M.a., Lpca NPPES

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

JESSICA ANN REVELS M.ED., M.A., LPCA (NPI 1043780778) is an individual professional provider in Durham, North Carolina, licensed in North Carolina (A14340) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1043780778
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA ANN REVELSCredential: M.ED., M.A., LPCA
Location Address1415 WEST NORTH CAROLINA 54, BUILDING 100 SUITE # 204Durham, NC 27707
Mailing Address100 Stratford Lakes Dr Unit 253Durham, NC 27713-3486 · (919) 308-6039
Sole ProprietorYes
Enumeration DateNovember 26, 2018
NPI 1043780778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · A14340
1415 WEST NORTH CAROLINA 54, Durham, NC 27707

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1415 WEST NORTH CAROLINA 54, SUITE 207
DURHAM, NC 27707

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 Jessica Revels's NPI number?

The NPI number for Jessica Revels is 1043780778. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Jessica Revels located?

Jessica Revels practices at 1415 West North Carolina 54 Building 100 Suite # 204, Durham, NC 27707. The listed phone number is (919) 308-6039.

What is Jessica Revels's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jessica Revels was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.