REVIVAL THERAPY, P.C.
NPI 1376150896
Counselor - Professional in Crystal Lake, IL

Q: What is Revival Therapy, P.C.'s NPI number?

The NPI number for Revival Therapy, P.C. is 1376150896. It was assigned to this organization in the NPPES registry on September 29, 2020. The provider was formerly known as Revival Therapy, Inc..

Q: What is Revival Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 29, 2020

330 W. TERRA COTTA AVE., SUITE A, CRYSTAL LAKE, IL 60014(815) 382-9691(815) 800-0670 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2024, Feb 2, 2021, Sep 29, 2020 (3 updates tracked since 2020).

On this page

About Revival Therapy, P.c. NPPES

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

REVIVAL THERAPY, P.C. (NPI 1376150896), doing business as Revival Therapy, Inc., is a healthcare organization registered as a professional in Crystal Lake, Illinois and active in the NPI registry since September 2020. The organization lists Sara Lemke, Ceo/practice Owner, as its authorized official.

NPPES Registry Identity

NPI1376150896

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameREVIVAL THERAPY, P.C.

Location Address330 W. TERRA COTTA AVE., SUITE ACrystal Lake, IL 60014

Mailing Address330 W. Terra Cotta Ave., Suite ACrystal Lake, IL 60014 · (815) 382-9691 · Fax (815) 800-0670

Phone(815) 382-9691

Fax(815) 800-0670

Organization SubpartNo

Authorized OfficialSara LemkeCeo/practice Owner · (815) 451-6585

Enumeration DateSeptember 29, 2020

Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1376150896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

330 W. TERRA COTTA AVE., Crystal Lake, IL 60014

Open in Google Maps ↗

Other Names 1

Former Legal Business NameRevival Therapy, Inc.

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

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 Revival Therapy, P.C.'s NPI number?

The NPI number for Revival Therapy, P.C. is 1376150896. It was assigned to this organization in the NPPES registry on September 29, 2020. The provider was formerly known as Revival Therapy, Inc..

Where is Revival Therapy, P.C. located?

Revival Therapy, P.C. is located at 330 W. Terra Cotta Ave. Suite A, Crystal Lake, IL 60014. The listed phone number is (815) 382-9691.

What is Revival Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Revival Therapy, P.C. was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.