REVOLUTION COUNSELING SERVICES LLC
NPI 1093201444
Social Worker - Clinical in Davenport, IA

Active since July 09, 2018
601 BRADY ST STE 204, DAVENPORT, IA 52803(309) 781-4053(309) 792-2440 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revolution Counseling Services Llc NPPES

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

REVOLUTION COUNSELING SERVICES LLC (NPI 1093201444) is a healthcare organization registered as a clinical in Davenport, Iowa and active in the NPI registry since July 2018. The organization lists Kari Lee Stearns-lamb, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1093201444
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVOLUTION COUNSELING SERVICES LLC
Location Address601 BRADY ST STE 204Davenport, IA 52803-5251
Mailing Address601 Brady St Ste 204Davenport, IA 52803-5251 · (309) 781-4053 · Fax (309) 792-2440
Fax(309) 792-2440
Organization SubpartNo
Authorized OfficialKari Lee Stearns-lambOwner/provider · (309) 781-4053
Enumeration DateJuly 9, 2018
✔ NPI 1093201444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IA · 078821✔ Licensed in IL · 149019131
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
601 BRADY ST STE 204, Davenport, IA 52803

Other Identifiers 1

Medicaid1831565290IA

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220221000558Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Revolution Counseling Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1518437789
1441 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 383-1900
✔ PECOS1.7 mi
Clinical Social Worker
NPI 1831565290
1441 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 383-1900
✔ PECOS✔ Accepts Medicare1.7 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 Revolution Counseling Services LLC's NPI number?

The NPI number for Revolution Counseling Services LLC is 1093201444. It was assigned to this organization in the NPPES registry on July 9, 2018.

Where is Revolution Counseling Services LLC located?

Revolution Counseling Services LLC is located at 601 Brady St Ste 204, Davenport, IA 52803. The listed phone number is (309) 781-4053.

What is Revolution Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Revolution Counseling Services LLC enrolled in Medicare?

Yes. Revolution Counseling Services LLC is registered in the Medicare PECOS enrollment system.

When is Revolution Counseling Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Revolution Counseling Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Revolution Counseling Services LLC, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revolution Counseling Services LLC was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.