MIND REVOLUTION COUNSELING AND CONSULTING
NPI 1275124711
Clinic/Center - Mental Health (Including Community Mental Health Center) in Litchfield Park, AZ

Q: What is Mind Revolution Counseling And Consulting's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 28, 2021

501 E PLAZA CIR STE B, LITCHFIELD PARK, AZ 85340(623) 252-0163 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mind Revolution Counseling And Consulting NPPES

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

MIND REVOLUTION COUNSELING AND CONSULTING (NPI 1275124711) is a healthcare organization registered as a mental health (including community mental health center) in Litchfield Park, Arizona and active in the NPI registry since January 2021. The organization lists Kenni Uribe, Owner, as its authorized official.

NPPES Registry Identity

NPI1275124711

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMIND REVOLUTION COUNSELING AND CONSULTING

Location Address501 E PLAZA CIR STE BLitchfield Park, AZ 85340-4917

Mailing Address16772 W Bell Rd Ste 110-449Surprise, AZ 85374-9702 · (623) 252-0163

Phone(623) 252-0163

Organization SubpartNo

Authorized OfficialKenni UribeOwner · (307) 307-3007

Enumeration DateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1275124711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

501 E PLAZA CIR STE B, Litchfield Park, AZ 85340

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Revolution Counseling And Consulting is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20210222000125Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mind Revolution Counseling And Consulting, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenni Uribe, LCSW

Clinical Social Worker

NPI 1699213405

17752 W CROCUS DR
Surprise, AZ 85388

(307) 760-3007

✔ PECOS✔ Accepts Medicare10 mi

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 Mind Revolution Counseling And Consulting's NPI number?

The NPI number for Mind Revolution Counseling And Consulting is 1275124711. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Mind Revolution Counseling And Consulting located?

Mind Revolution Counseling And Consulting is located at 501 E Plaza Cir Ste B, Litchfield Park, AZ 85340. The listed phone number is (623) 252-0163.

What is Mind Revolution Counseling And Consulting's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mind Revolution Counseling And Consulting enrolled in Medicare?

Yes. Mind Revolution Counseling And Consulting is registered in the Medicare PECOS enrollment system.

When is Mind Revolution Counseling And Consulting's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mind Revolution Counseling And Consulting?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mind Revolution Counseling And Consulting. 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 Mind Revolution Counseling And Consulting was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.