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REVIVED MIND COUNSELING SERVICES
NPI 1083323570
Social Worker in Okemos, MI

Active since November 23, 2022
2705 TAPESTRY DR, OKEMOS, MI 48864(517) 930-9950(517) 323-9531 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revived Mind Counseling Services NPPES

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

REVIVED MIND COUNSELING SERVICES (NPI 1083323570) is a healthcare organization registered as a social worker in Okemos, Michigan and active in the NPI registry since November 2022. The organization lists Cathy Gallegos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1083323570
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameREVIVED MIND COUNSELING SERVICES
Location Address2705 TAPESTRY DROkemos, MI 48864-4611
Mailing Address2705 Tapestry DrOkemos, MI 48864-4611 · (517) 930-9950
Phone(517) 930-9950
Fax(517) 323-9531
Organization SubpartNo
Authorized OfficialCathy GallegosCredentialing Manager · (517) 483-2461
Enumeration DateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1083323570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2705 TAPESTRY DR, Okemos, MI 48864
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Revived Mind Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Revived Mind Counseling Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Theresa Arnold-Robinson, MSW
Clinical Social Worker
NPI 1700986833
2095 PACKARD RD
Ypsilanti, MI 48197
(734) 221-1007
✔ PECOS✔ Accepts Medicare51 mi
Jeffrey Williams, LLMSW
Clinical Social Worker
NPI 1720435290
79 W ALEXANDRINE ST
Detroit, MI 48201
(313) 831-5535
✔ PECOS75 mi

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 Revived Mind Counseling Services's NPI number?

The NPI number for Revived Mind Counseling Services is 1083323570. It was assigned to this organization in the NPPES registry on November 23, 2022.

Where is Revived Mind Counseling Services located?

Revived Mind Counseling Services is located at 2705 Tapestry Dr, Okemos, MI 48864. The listed phone number is (517) 930-9950.

What is Revived Mind Counseling Services's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Revived Mind Counseling Services enrolled in Medicare?

Yes. Revived Mind Counseling Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revived Mind Counseling Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Revived Mind Counseling Services. 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.

What insurance does Revived Mind Counseling Services accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Revived Mind Counseling Services 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 Revived Mind Counseling Services 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.