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TRUE SELF REVIVAL COUNSELING, LLC
NPI 1255112918
Social Worker - Clinical in Vernal, UT

Active since October 09, 2023
639 E 1375 S, VERNAL, UT 84078(435) 210-0997 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About True Self Revival Counseling, Llc NPPES

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

TRUE SELF REVIVAL COUNSELING, LLC (NPI 1255112918) is a healthcare organization registered as a clinical in Vernal, Utah and active in the NPI registry since October 2023. The organization lists Diana Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255112918
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRUE SELF REVIVAL COUNSELING, LLC
Location Address639 E 1375 SVernal, UT 84078-1270
Mailing Address639 E 1375 SVernal, UT 84078-1270 · (435) 210-0997
Phone(435) 210-0997
Organization SubpartNo
Authorized OfficialDiana CarneyCeo · (435) 210-0997
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1255112918 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.
639 E 1375 S, Vernal, UT 84078
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

True Self Revival Counseling, 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 True Self Revival Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diana Carney
Clinical Social Worker
NPI 1962854190
365 W 50 N STE W8
Vernal, UT 84078
(435) 790-2757
✔ PECOS✔ Accepts MedicareSame address

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 True Self Revival Counseling, LLC's NPI number?

The NPI number for True Self Revival Counseling, LLC is 1255112918. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is True Self Revival Counseling, LLC located?

True Self Revival Counseling, LLC is located at 639 E 1375 S, Vernal, UT 84078. The listed phone number is (435) 210-0997.

What is True Self Revival Counseling, LLC's specialty?

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

Is True Self Revival Counseling, LLC enrolled in Medicare?

Yes. True Self Revival Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through True Self Revival Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to True Self Revival Counseling, 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.

What insurance does True Self Revival Counseling, LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list True Self Revival Counseling, 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 True Self Revival Counseling, LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.