REVIVE COUNSELING LLC
NPI 1073347605
Counselor - Mental Health in Saint Louis, MO
About Revive Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE COUNSELING LLC (NPI 1073347605) is a healthcare organization registered as a mental health in Saint Louis, Missouri and active in the NPI registry since August 2024. The organization lists Samantha Buettner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Counseling LLC's NPI number?
The NPI number for Revive Counseling LLC is 1073347605. It was assigned to this organization in the NPPES registry on August 27, 2024.
Where is Revive Counseling LLC located?
Revive Counseling LLC is located at 9666 Olive Blvd Ste 510, Saint Louis, MO 63132. The listed phone number is (314) 365-6421.
What is Revive Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Revive Counseling LLC enrolled in Medicare?
Yes. Revive Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Revive Counseling LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revive Counseling LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 Counseling Llc · NPI 1073347605
Mental Health organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since August 27, 2024.
## Identity
- **NPI:** 1073347605 (Entity type: Organization)
- **Enumerated:** August 27, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Samantha Buettner, OWNER
## Practice location
- **Address:** 9666 OLIVE BLVD STE 510, Saint Louis, MO 63132-3026
- **Phone:** (314) 365-6421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073347605) · Data from the CMS NPPES public registry.