REVIVAL THERAPY SERVICES LLC
NPI 1457008591
Counselor - Professional in Denver, CO
About Revival Therapy Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVAL THERAPY SERVICES LLC (NPI 1457008591) is a healthcare organization registered as a professional in Denver, Colorado and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Colorado Springs and lists Sacha Lacasse, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
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)
Revival Therapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Revival Therapy Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Revival Therapy Services LLC's NPI number?
The NPI number for Revival Therapy Services LLC is 1457008591. It was assigned to this organization in the NPPES registry on March 8, 2022.
Where is Revival Therapy Services LLC located?
Revival Therapy Services LLC is located at 1133 N Pennsylvania St, Denver, CO 80203. The listed phone number is (303) 551-0117.
What is Revival Therapy Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Revival Therapy Services LLC enrolled in Medicare?
Yes. Revival Therapy Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revival Therapy Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Revival Therapy Services 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revival Therapy Services LLC was last updated on October 25, 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.
# Revival Therapy Services Llc · NPI 1457008591
Professional organization in Denver, Colorado. Organization record, active in the CMS NPPES registry since March 8, 2022.
## Identity
- **NPI:** 1457008591 (Entity type: Organization)
- **Enumerated:** March 8, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** Yes (part of Revival Therapy Services Llc)
- **Authorized official:** Sacha Lacasse, DIRECTOR
## Practice location
- **Address:** 1133 N PENNSYLVANIA ST, Denver, CO 80203-2502
- **Phone:** (303) 551-0117 · **Fax:** (303) 551-0117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457008591) · Data from the CMS NPPES public registry.