PSYCH REVIVAL THERAPY LLC
NPI 1184447955
Social Worker - Clinical in Springfield, MO
About Psych Revival Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSYCH REVIVAL THERAPY LLC (NPI 1184447955) is a healthcare organization registered as a clinical in Springfield, Missouri and active in the NPI registry since November 2024. The organization lists Nichole Sprowso, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Psych Revival Therapy 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 Psych Revival Therapy 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 Psych Revival Therapy LLC's NPI number?
The NPI number for Psych Revival Therapy LLC is 1184447955. It was assigned to this organization in the NPPES registry on November 1, 2024.
Where is Psych Revival Therapy LLC located?
Psych Revival Therapy LLC is located at 1675 E Seminole St, Springfield, MO 65804. The listed phone number is (970) 208-7791.
What is Psych Revival Therapy LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Psych Revival Therapy LLC enrolled in Medicare?
Yes. Psych Revival Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psych Revival Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Psych Revival Therapy 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 Psych Revival Therapy LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.