REVITALIZE COUNSELING SERVICES LLC
NPI 1073401295
Counselor - Professional in Menasha, WI
About Revitalize Counseling Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVITALIZE COUNSELING SERVICES LLC (NPI 1073401295) is a healthcare organization registered as a professional in Menasha, Wisconsin and active in the NPI registry since June 2025. The organization lists Katherine Jo Saint, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Revitalize Counseling Services 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 Revitalize Counseling Services 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 Revitalize Counseling Services LLC's NPI number?
The NPI number for Revitalize Counseling Services LLC is 1073401295. It was assigned to this organization in the NPPES registry on June 26, 2025.
Where is Revitalize Counseling Services LLC located?
Revitalize Counseling Services LLC is located at 1486 Kenwood Dr Ste 101, Menasha, WI 54952. The listed phone number is (920) 284-7950.
What is Revitalize Counseling Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Revitalize Counseling Services LLC enrolled in Medicare?
Yes. Revitalize Counseling Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revitalize Counseling Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Revitalize Counseling Services 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 Revitalize Counseling Services LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Revitalize Counseling Services Llc · NPI 1073401295
Professional organization in Menasha, Wisconsin. Organization record, active in the CMS NPPES registry since June 26, 2025.
## Identity
- **NPI:** 1073401295 (Entity type: Organization)
- **Enumerated:** June 26, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Katherine Saint, OWNER
## Practice location
- **Address:** 1486 KENWOOD DR STE 101, Menasha, WI 54952-1133
- **Phone:** (920) 284-7950
## 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:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073401295) · Data from the CMS NPPES public registry.