MR. JOE DOUGLAS REVIS JR. LCSW
NPI 1174174601
Social Worker - Clinical in Rutherfordton, NC

Q: What is Joe Revis's NPI number?

The NPI number for Joe Revis is 1174174601. It was assigned to this individual provider in the NPPES registry on September 25, 2019. The provider is also known as Mr. Joey Revis.

Q: What is Joe Revis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joe Revis was last updated on February 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment

356 CHARLOTTE RD, RUTHERFORDTON, NC 28139(828) 287-7945 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2023, Sep 25, 2019 (2 updates tracked since 2019).

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About Mr. Joe Douglas Revis Jr. Lcsw NPPES

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

MR. JOE DOUGLAS REVIS JR. LCSW (NPI 1174174601) is an individual clinical provider in Rutherfordton, North Carolina, licensed in North Carolina (C006046) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1174174601

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JOE DOUGLAS REVIS JR.Credential: LCSW

Location Address356 CHARLOTTE RDRutherfordton, NC 28139-2916

Mailing Address311 General Griffith CirRutherfordton, NC 28139-9273 · (828) 429-8620

Phone(828) 287-7945

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 25, 2019

Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1174174601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C006046

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.

356 CHARLOTTE RD, Rutherfordton, NC 28139

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Other Names 1

Other Name (5)Mr. Joey Revis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Joe Douglas Revis Jr. Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517390818

PECOS Enrollment IDI20191126003233

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

68 services12 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

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

MS. ALICSYA BARRINGER MSW, LCSWA

Social Worker (Clinical)