1. Home
  2. Directory
  3. Louisiana
  4. Lafayette
  5. Nurse Practitioner
  6. NPI Profile

REVIVE PSYCHIATRIC SERVICES, LLC
NPI 1225504962
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, LA

Active since October 21, 2018CLIA 19D2167871 · Waiver
221 RUE DE JEAN STE 210, LAFAYETTE, LA 70508(337) 450-9452(337) 222-3934 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Oct 21, 2018 (2 updates tracked since 2018).

About Revive Psychiatric Services, Llc NPPES

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

REVIVE PSYCHIATRIC SERVICES, LLC (NPI 1225504962) is a healthcare organization registered as a psychiatric/mental health in Lafayette, Louisiana and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Seth Jordan Bowers, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1225504962
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVE PSYCHIATRIC SERVICES, LLC
Location Address221 RUE DE JEAN STE 210Lafayette, LA 70508-3283
Mailing AddressPo Box 530Youngsville, LA 70592-0530
Phone(337) 450-9452
Fax(337) 222-3934
Organization SubpartNo
Authorized OfficialSeth Jordan BowersOwner/provider · (337) 247-2533
Enumeration DateOctober 21, 2018
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1225504962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
221 RUE DE JEAN STE 210, Lafayette, LA 70508
Open in Google Maps ↗

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 Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2167871

Revive Psychiatric Services, LLC · Scott, LA
Active · expires Jun 16, 2027
CLIA Number19D2167871
Laboratory TypePractitioner Other
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorSeth J. Bowers
Laboratory Phone(337) 450-9452
Laboratory LocationRevive Psychiatric Services, LLC913 Alfred St, Scott, LA 70583
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SETH JORDAN BOWERS PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
221 RUE DE JEAN STE 210
LAFAYETTE, LA 70508
Lafayette Parish (337) 450-9452
MS. MELISSA AMMAN HARDY LCSW
Social Worker (Clinical)
221 RUE DE JEAN STE 210
LAFAYETTE, LA 70508
Lafayette Parish (337) 409-9227

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 Psychiatric Services, LLC's NPI number?

The NPI number for Revive Psychiatric Services, LLC is 1225504962. It was assigned to this organization in the NPPES registry on October 21, 2018.

Where is Revive Psychiatric Services, LLC located?

Revive Psychiatric Services, LLC is located at 221 Rue De Jean Ste 210, Lafayette, LA 70508. The listed phone number is (337) 450-9452.

What is Revive Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Revive Psychiatric Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2167871) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revive Psychiatric Services, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Revive Psychiatric Services, LLC 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 Revive Psychiatric Services, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.