REVIVE MINISTRIES INC
NPI 1063909067
Counselor - Addiction (Substance Use Disorder) in Nicholasville, KY
About Revive Ministries Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE MINISTRIES INC (NPI 1063909067) is a healthcare organization registered as an addiction (substance use disorder) in Nicholasville, Kentucky and active in the NPI registry since April 2018. The organization lists Todd Johns, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Ministries Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Revive Ministries Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Revive Ministries Inc's NPI number?
The NPI number for Revive Ministries Inc is 1063909067. It was assigned to this organization in the NPPES registry on April 16, 2018.
Where is Revive Ministries Inc located?
Revive Ministries Inc is located at 111 Coconut Grove Drive, Nicholasville, KY 40356. The listed phone number is (859) 881-4505.
What is Revive Ministries Inc's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Revive Ministries Inc enrolled in Medicare?
Yes. Revive Ministries Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Ministries Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Revive Ministries Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (6), Clinical Social Worker (1) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Revive Ministries Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Revive Ministries Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Revive Ministries Inc was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Revive Ministries Inc · NPI 1063909067
Addiction (Substance Use Disorder) organization in Nicholasville, Kentucky. Organization record, active in the CMS NPPES registry since April 16, 2018.
## Identity
- **NPI:** 1063909067 (Entity type: Organization)
- **Enumerated:** April 16, 2018
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Organization subpart:** No
- **Authorized official:** Todd Johns, CEO
## Practice location
- **Address:** 111 COCONUT GROVE DRIVE, Nicholasville, KY 40356-2321
- **Phone:** (859) 881-4505 · **Fax:** (859) 241-1483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (6), Clinical Social Worker (1), Family Practice (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2022
- **Other identifiers:** Medicaid 7100649290 (KY); Other 7100541540 (KY); Other 810626 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1063909067) · Data from the CMS NPPES public registry.