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ROBERT REVELL CPSS
NPI 1073077418
Peer Specialist in Gulfport, MS

Active since January 30, 2019
1600 BROAD AVE, GULFPORT, MS 39501(228) 865-1719(228) 865-1780 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2019, Jan 30, 2019 (2 updates tracked since 2019).

About Robert Revell Cpss NPPES

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

ROBERT REVELL CPSS (NPI 1073077418) is an individual peer specialist in Gulfport, Mississippi, licensed in Mississippi (390) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1073077418
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameROBERT REVELLCredential: CPSS
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing Address1600 Broad AveGulfport, MS 39501-3603 · (228) 865-1719 · Fax (228) 865-1780
Phone(228) 865-1719
Fax(228) 865-1780
Sole ProprietorNo
Enumeration DateJanuary 30, 2019
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
✔ NPI 1073077418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MS · 390
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1600 BROAD AVE, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 20

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

JUNE BOUDREAUX CPSS
Peer Specialist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KRYSTAL RICE
Counselor
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 213-5888
CYNTHIA WILLETT PCMHT
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MS. RITA A RADEMACHER LMSW
Social Worker
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CATHERINE JONES LMFT
Marriage & Family Therapist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KATHY ULLAND P-LPC
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (122) 886-5133
KATRINA GRIFFITH LPC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CHRISTINA MARIE LADD LMHC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132

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 Robert Revell's NPI number?

The NPI number for Robert Revell is 1073077418. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Robert Revell located?

Robert Revell practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 865-1719.

What is Robert Revell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Robert Revell was last updated on July 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.