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REVIVE THERAPY AND COUNSELING LLC
NPI 1144169186
Social Worker - Clinical in Portage, MI

Active since March 26, 2026
1651 W CENTRE AVE STE 203, PORTAGE, MI 49024(269) 360-2618 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Therapy And Counseling Llc NPPES

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

REVIVE THERAPY AND COUNSELING LLC (NPI 1144169186) is a healthcare organization registered as a clinical in Portage, Michigan and active in the NPI registry since March 2026. The organization lists Timothy Henson, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1144169186
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVE THERAPY AND COUNSELING LLC
Location Address1651 W CENTRE AVE STE 203Portage, MI 49024-6313
Mailing Address1651 W Centre Ave Ste 203Portage, MI 49024-6313
Phone(269) 360-2618
Organization SubpartNo
Authorized OfficialTimothy HensonOwner/clinician · (269) 360-2618
Enumeration DateMarch 26, 2026
Last NPPES UpdateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1144169186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1651 W CENTRE AVE STE 203, Portage, MI 49024
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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

Other Providers at the Same Location NPPES

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

TIMOTHY DAVID HENSON LMSW
Social Worker (Clinical)
1651 W CENTRE AVE STE 203
PORTAGE, MI 49024
Kalamazoo County (269) 360-2618

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 Therapy And Counseling LLC's NPI number?

The NPI number for Revive Therapy And Counseling LLC is 1144169186. It was assigned to this organization in the NPPES registry on March 26, 2026.

Where is Revive Therapy And Counseling LLC located?

Revive Therapy And Counseling LLC is located at 1651 W Centre Ave Ste 203, Portage, MI 49024. The listed phone number is (269) 360-2618.

What is Revive Therapy And Counseling LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Revive Therapy And Counseling LLC was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.